Jorge L Carballo DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

JORGE L CARBALLO DPM PA

Practice address

1330 SW 22ND St Ste 408
Miami, FL 33145-2945

Phone

(305) 642-4777

Fax

(305) 642-0600

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Jorge L Carballo, DPMNPI 1609896687

Title

Owner

Phone

(305) 642-4777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Jorge Luis Carballo, D.P.M.

  • Podiatrist
  • Miami, FL
  • NPI 1609896687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1841735404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMILO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347207",
            "telephone_number": "305-642-4777",
            "fax_number": "305-642-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SW 22ND ST STE 408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452945",
            "telephone_number": "305-642-4777",
            "fax_number": "305-642-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE L CARBALLO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "CARBALLO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-642-4777",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Gil-Sabina, MD
• Nailen Jorge Gonzalez
• Jorge H. Caycedo, M.D., P.a.
• Jorge J Santin MD Inc
• Jorge J Sowers MD PA
• Jorge L Perez DO PA
• Jorge L. Acosta MD
• Jorge L. de la Pedraja, M.D., P.a.
• Jorge L. Garcia MD PA
• Denis Julio Jorge Lazo, FNP

• Podiatrist in Miami, FL
• Providers in Miami, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.