Pedro P Carballo MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PEDRO P CARBALLO MD PA

Practice address

8260 W Flagler St
Suite #2-a
Miami, FL 33144-2069

Phone

(786) 275-9755

Fax

(786) 275-9754

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pedro P Carballo, M.D.NPI 1194720078

Title

President

Phone

(786) 275-9755

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Pedro Pablo Carballo, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1194720078
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1962530378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST",
            "address_2": "SUITE #2-A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-275-9755",
            "fax_number": "786-275-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST",
            "address_2": "SUITE #2-A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-275-9755",
            "fax_number": "786-275-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO P CARBALLO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "CARBALLO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-275-9755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370306100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pedro J. Carvajal, MD, PA
• Pedro M Abrantes DPM PA
• Pedro Martinez-Clark MD PA
• Pedro Melchor MD PA
• Pedro Musa Ris, M.D. P.a.
• Pedro P Llaneza MD PA
• Pedro Publio Bosch MD PA
• Pedro Sevilla LLC
• Peter Pedro, M.D.
• Carolina Pedroletti, O.D.

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.