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Provider record

Mauro Carballo

Mauro Carballo is a CMS NPPES public record in Miami Gardens, FL with a Dentist taxonomy. The listing includes the reported practice address and reported phone. An approved map location is available for the reported practice address. Confirm details with the provider.

NPI1508200635
Entity typeIndividual
Reported phone(305) 912-8603
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJune 3, 2026

Data pulled and checked

NPPES statusActive

Reported to NPPES

Directory statusIndependent

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1508200635
Entity type
Individual
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
900 Park Centre Blvd Ste 400a
Miami Gardens, FL 33169-5371
Phone
(305) 912-8603

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Additional practice locations

NPPES reports 2 additional Florida practice locations for this NPI. This page shows up to five source-reported rows and does not map or verify these locations.

NPPES reported
1600 Nw 17th AveMiami, FL 33125-2327
Phone
(305) 912-8603
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

2664 Tamiami Trl ENaples, FL 34112-5707
Phone
(239) 428-1010
Source checked
May 26, 2026

CMS NPPES Data Dissemination May 2026 V2

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  1. Confirm the office address and phone number directly with the provider.
  2. Use the NPI number when comparing this record with CMS NPPES.
  3. Check state licensing sources separately for license status or disciplinary history.
  4. Ask the office about insurance, appointments, services, and availability.

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Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
122300000X
Specialty
Dentist
Source
CMS NPPES
Last updated
May 26, 2026