NPIMap

Organization Active NPI

Maria a. Carballosa, M.D., P.a.

  • Pediatrics Physician
  • Hialeah, FL
National Provider Identifier
1811399983
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME59149 Issued in FL
Legal business name
MARIA A. CARBALLOSA, M.D., P.A.
Practice address
4395 Palm Ave
Hialeah, FL 33012-4014
Phone
(305) 821-3944
Fax
(305) 821-4301
NPI assigned
Sep 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Authorized official

Name
Dr. Maria Antonieta Carballosa, M.D.NPI 1366492845
Title
President
Phone
(305) 321-6839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME59149 FL Primary

Addresses

Primary practice location

4395 Palm Ave
Hialeah, FL 33012-4014

Mailing address

4395 Palm Ave
Hialeah, FL 33012-4014
Phone (305) 821-3944

National Provider Directory

National Provider Directory

Locations

4395 Palm Ave
Hialeah, FL 33012
Phone (305) 821-3944

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411171200000",
    "number": "1811399983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124014",
            "telephone_number": "305-821-3944",
            "fax_number": "305-821-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124014",
            "telephone_number": "305-821-3944",
            "fax_number": "305-821-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA A. CARBALLOSA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-20",
        "status": "A",
        "authorized_official_last_name": "CARBALLOSA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANTONIETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-321-6839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME59149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.