Healthcare Provider Details

I. General information

NPI: 1871280776
Provider Name (Legal Business Name): MRS. SEMIRAMIS NIEVES CARABALLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 SE 1ST AVE STE 120
OCALA FL
34471-2161
US

IV. Provider business mailing address

217 SE 1ST AVE STE 120
OCALA FL
34471-2161
US

V. Phone/Fax

Practice location:
  • Phone: 786-259-5441
  • Fax: 352-310-0132
Mailing address:
  • Phone: 786-259-5441
  • Fax: 352-310-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberIPHMNM19926
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberIPHMNM19926
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: