MEDICARE: DR. MARIA TERESA POL-CARBALLO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician	ME0060604	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME0060604	OTHER	FL	FLORIDA LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437124047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA TERESA POL-CARBALLO M.D.

Provider Business Mailing Address
First Line	:	6100 BLUE LAGOON DR STE 365
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-7010
Country	:	US
Telephone Number	:	786-322-7333
Fax Number	:	786-322-7329

Provider Business Practice Location Address
First Line	:	3520 W 18TH AVE STE 115
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4634
Country	:	US
Telephone Number	:	786-837-0897
Fax Number	:	786-837-0898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2006
Last Update Date	:	03/09/2021

Similar Medicare Providers

1316997323 — KJ HEALTH THERAPY REHABILITATION, INC.
Practice Location Address:

3520 W 18TH AVE , SUITE # 115
HIALEAH, FL
33012-4634

Practice Phone: 305-823-0210
Practice Fax:

1255345013 — KJ HEALTH THERAPY REHABILITATION, INC.
Practice Location Address:

3520 W 18TH AVE , SUITE 115
HIALEAH, FL
33012-4634

Practice Phone: 305-823-0210
Practice Fax: 305-823-0096

1467656124 — REHAB UNLIMITED INC
Practice Location Address:

3520 W 18TH AVE , STE 105
HIALEAH, FL
33012-4634

Practice Phone: 305-828-7919
Practice Fax: 305-828-7114

1396197455 — LUISA MARIA GUZMAN MD
Practice Location Address:

3520 W 18TH AVE STE 115
HIALEAH, FL
33012-4634

Practice Phone: 786-837-0897
Practice Fax: 786-837-0898

1184453623 — LIUDYS VITALI
Practice Location Address:

180 ROYAL PALM RD APT 114
HIALEAH, FL
33016-4634

Practice Phone: 786-499-9655
Practice Fax:

1811955974 — DR. LOREN BARRY ALLEN MD
Practice Location Address:

1223 W POPLAR ST
ROGERS, AR
72756-4245

Practice Phone: 479-636-9235
Practice Fax: 479-631-0374

Directions to “ DR. MARIA TERESA POL-CARBALLO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.