Rafael Carballo, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001321 Issued in FL

Practice address

2415 NW 16TH Street Rd Apt 208
Miami, FL 33125-1292

Phone

(786) 301-9084

NPI assigned

Nov 27, 2007

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Rafael Carballo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1720269228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NW 16TH STREET RD APT 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251292",
            "telephone_number": "786-301-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NW 16TH STREET RD APT 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251292",
            "telephone_number": "786-301-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLO",
        "first_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9199568",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "CARBALLO",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Leydi Carballo, ARNP
• Linda Friedberg Carballo, MSPT
• Maria Carballo
• Maria Caridad Carballo, ARNP
• Mercedes Carballo, LMHC
• Sarah Alexis Carballo, D.P.T.
• Yamilis Carballo
• Betsy Carballosa Abreu
• Lilian R Carballosa
• Idalia Carballoso

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.