Lilian R Carballosa

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001892 Issued in FL

Practice address

14343 SW 163Rd Ter
Miami, FL 33177-1811

Phone

(786) 738-4297

NPI assigned

Mar 31, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1851852875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14343 SW 163RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771811",
            "telephone_number": "786-738-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14343 SW 163RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771811",
            "telephone_number": "786-738-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLOSA",
        "first_name": "LILIAN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Carballo, LMHC
• Rafael Carballo, FNP-BC
• Sarah Alexis Carballo, D.P.T.
• Yamilis Carballo
• Betsy Carballosa Abreu
• Idalia Carballoso
• Nathan Carberry, MD
• Clarissa Irmina Carbo, ARNP
• Joel Ruben Carbo
• Carly Regina Carbone

• 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 31, 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.