Provider Demographics
NPI:1114259900
Name:CARABALLO, DALIAN YAMILL (MD)
Entity Type:Individual
Prefix:MRS
First Name:DALIAN
Middle Name:YAMILL
Last Name:CARABALLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11240 N KENDALL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1108
Mailing Address - Country:US
Mailing Address - Phone:786-530-7006
Mailing Address - Fax:844-863-8737
Practice Address - Street 1:11240 N KENDALL DR STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1108
Practice Address - Country:US
Practice Address - Phone:786-530-7006
Practice Address - Fax:844-863-8737
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.016951207Q00000X
FLME113655207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine