DR. JORGE LUIS CARBALLO (NPI# 1609896687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609896687 |
| Entity Type | Individual |
| Full Name | DR. JORGE LUIS CARBALLO |
| Credential | D.P.M. |
| Practice Address |
764 Sw 18th Ave Miami FL 33135-3495 |
| Practice Telephone | 3056424777 |
| Practice Fax Number | 3056420600 |
| Mailing Telephone | 3056424777 |
| Mailing Fax Number | 3056420600 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO0002773 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340052200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821596479 | Jorge Carballo | Registered Nurse | 8710 Sw 41st Ter, Miami, FL 33165-5437 | 2018-01-29 |
| Street Address |
764 SW 18TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143673 | United Community Care LLC | Community/Behavioral Health | 764 Sw 18th Ave, Miami, FL 33135-3495 | 2020-01-22 |
| 1841735404 | Jorge L Carballo Dpm Pa | Podiatrist | 764 Sw 18th Ave, Miami, FL 33135-3495 | 2017-01-05 |
| 1104051341 | Florida Foot & Ankle Associates, LLC | Podiatrist | 764 Sw 18th Ave, Fl 2, Miami, FL 33135-3495 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1649662362 | Hallux Corporation | Podiatrist | 351 N Lejeune Rd, Suite 315, Miami, FL 33126-5683 | 2015-03-04 |
| 1457792145 | Parmec Medical Inc | Podiatrist | 6850 Coral Way Ste 208, Miami, FL 33155-1758 | 2013-07-10 |
| 1336485119 | Floridian Podiatry Services, Inc | Podiatrist | 5480 Sw 65th Rd, Miami, Miami, FL 33155-6415 | 2012-12-23 |
| 1346519584 | Paradigm Medical Management Inc | Podiatrist | 13740 Sw 104th Ave, Miami, FL 33176-6676 | 2011-12-16 |
| 1538450564 | Rosemary Davila-sola Dpm Pa | Podiatrist | 3051 West Flagler Street, Miami, FL 33135-1257 | 2011-04-25 |
| 1487956702 | Rosemary Davila-sola | Podiatrist | 9617 Sw 74th St, Miami, FL 33173-3208 | 2010-11-18 |
| 1184925521 | Lower Extremity Care, L.L.C. | Podiatrist | 330 Sw 27th Ave Ste 403, Miami, FL 33135-2967 | 2010-11-16 |
| 1073755286 | Lisa Michelle Whaley | Podiatrist | 1741 Ne Miami Ct, 602, Miami, FL 33132 | 2009-04-02 |
| 1457591554 | Juliette Perez | Podiatrist | 13651 Sw 26th St, Miami, FL 33175-6378 | 2009-03-02 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.