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DR. MARIA ANTONIETA CARBALLOSA M.D
NPI 1366492845
Pediatrics in Hialeah, FL

Active since May 12, 2006PECOS EnrolledCLIA 10D0928616 · Waiver
4395 PALM AVE, HIALEAH, FL 33012(305) 821-3944(305) 821-4301 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Maria Antonieta Carballosa M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIA ANTONIETA CARBALLOSA M.D (NPI 1366492845) is an individual pediatrics provider in Hialeah, Florida, licensed in Florida (ME59149) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through September 14, 2027.

NPPES Registry Identity

NPI1366492845
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARIA ANTONIETA CARBALLOSACredential: M.D
Location Address4395 PALM AVEHialeah, FL 33012-4014
Mailing Address4395 Palm AveHialeah, FL 33012-4014 · (305) 821-3944 · Fax (305) 821-4301
Phone(305) 821-3944
Fax(305) 821-4301
Sole ProprietorYes
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 26, 2024
NPPES CertifiedDecember 26, 2024
✔ NPI 1366492845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME59149
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4395 PALM AVE, Hialeah, FL 33012
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Other Identifiers 1

Medicaid056791400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maria Antonieta Carballosa M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0928616

Maria A Carballosa MD PA · Hialeah, FL
Active · expires Sep 14, 2027
CLIA Number10D0928616
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorMaria A. Carballosa
Laboratory Phone(305) 821-3944
Laboratory LocationMaria A Carballosa MD PA4395 Palm Avenue, Hialeah, FL 33012
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA A. CARBALLOSA, M.D., P.A.
Pediatrics
4395 PALM AVE
HIALEAH, FL 33012
Miami-Dade County (305) 821-3944

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Carballosa's NPI number?

The NPI number for Maria Carballosa is 1366492845. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Maria Carballosa located?

Maria Carballosa practices at 4395 Palm Ave, Hialeah, FL 33012. The listed phone number is (305) 821-3944.

What is Maria Carballosa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maria Carballosa enrolled in Medicare?

Yes. Maria Carballosa is registered in the Medicare PECOS enrollment system.

Does Maria Carballosa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0928616) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maria Carballosa accept?

Health plans from Molina Healthcare list Maria Carballosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Carballosa was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.