Yudit Diaz Carballo, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9324451 Issued in FL

Practice address

7500 NW 25TH St
Miami, FL 33122

Phone

(305) 593-8355

Fax

(305) 593-8369

NPI assigned

Jul 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yudit.diazcarballo@666.emedpractice.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/18747/brand/1/csg/1/fhir/r4

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

• Angels Diagnostic Group Inc

  dba Angels Wellness Center of Miami Lakes

  • Primary Care Clinic/Center
  • Miami Lakes, FL
  • NPI 1700108412
  Medicare reassignment NPD
• Health Practitioners LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1073012688
  NPD

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1538681127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 SW 137TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757240",
            "telephone_number": "786-234-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 NW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33122",
            "telephone_number": "305-593-8355",
            "fax_number": "305-593-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ CARBALLO",
        "first_name": "YUDIT",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9324451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabian E Diaz Cancio
• Iris Diaz Cano
• Laura E Diaz Cantero
• Arelys Diaz Carballo
• Hector David Diaz Carballo Sr.
• Dailet Diaz Carcache
• Anyi Lucia Diaz Cardero
• Ariel Jesus Diaz Casanova
• Marylin Diaz Castellanos
• Isabel Diaz Castillo

• Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.