Individual provider Active NPI

Viviana Olga Carballo-Sokol

  • Family Medicine Physician
  • North Miami, FL
National Provider Identifier
1457516668
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN1159 Issued in FL
Practice address
888 NE 126TH St Ste 101
North Miami, FL 33161-4964
Phone
(305) 899-1406
Fax
(305) 899-1352
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ACN1159 FL Primary

Addresses

Primary practice location

888 NE 126TH St Ste 101
North Miami, FL 33161-4964

Mailing address

888 NE 126TH St Ste 101
North Miami, FL 33161-4964
Phone (305) 899-1406

Other practice location 1

1305 Seabay Rd
Weston, FL 33326-3325
Phone (954) 349-6277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACN1159FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity 5 Inc PastSince Jul 5, 2020 Accepting new patients
Physical Therapy in Your Home Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1457516668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 NE 126TH ST STE 101",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614964",
            "telephone_number": "305-899-1406",
            "fax_number": "305-899-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 NE 126TH ST STE 101",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614964",
            "telephone_number": "305-899-1406",
            "fax_number": "305-899-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Seabay Rd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263325",
            "country_code": "US",
            "telephone_number": "954-349-6277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBALLO-SOKOL",
        "first_name": "VIVIANA",
        "middle_name": "OLGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.