MARIA TERESA PEREZ CARBALLO


Address: 1 Hoppin St, Providence, RI 02903-4141
Phone: 4014444612

MARIA TERESA PEREZ CARBALLO (NPI# 1508277013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508277013
Entity Type Individual
Full Name MARIA TERESA PEREZ CARBALLO
Credential M.D.
Practice Address 1 Hoppin St
Providence
RI 02903-4141
Mailing Address 300 Longwood Ave
Boston
MA 02115-5724
Practice Telephone 4014444612
Mailing Telephone 6173556000
Enumeration Date 2014-05-19
Last Update Date 2020-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
270063 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
20 York St., Yale-new Haven Hospital, New Haven, CT 06510 2036884242
300 Longwood Ave, Boston, MA 021155724 6173556000

Office Location

Street Address 1 HOPPIN ST
City PROVIDENCE
State RI
Zip Code 02903-4141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679579338 William T Mason Internal Medicine 1 Hoppin St, 3rd Floor, Providence, RI 02903-4141 2005-06-27
1578926952 Karyn Hartz-mandell Psychologist 1 Hoppin St, Coro West, Suite 204, 2.115, Providence, RI 02903-4141 2016-04-01
1033589676 Margaret Codispoti Registered Nurse 1 Hoppin St, 3rd Floor, Providence, RI 02903-4141 2015-09-25
1093121394 Michael Walther Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2014-07-08
1609213669 Jennifer Threatt Perry Internal Medicine 1 Hoppin St, Suite 200, Providence, RI 02903-4923 2013-05-31
1174878003 Rachel A Simmons Psychologist 1 Hoppin St, Suite 2.030, Providence, RI 02903-4141 2012-07-17
1689935447 L. Cinnamon Bidwell Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-06-07
1417218397 Aliya Zul Jiwani Ophthalmology 1 Hoppin St, Coro West Suite 202, Providence, RI 02903-4141 2012-06-06
1770849242 Kristen Michelle Benito Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-04-09
1194081083 David Heaton Barker Psychologist 1 Hoppin St, Suite 204, Providence, RI 02903-4141 2012-04-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
Find all providers in zip 02903

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619908621 Patricia A Rompf Pediatrics 235 Plain Street, Suite 301, Providence, RI 02905 2006-07-06
1538425160 Patricia A. Rompf, M.d., Inc Pediatrics 235 Plain St, Suite 301, Providence, RI 02905-3240 2012-04-09
1346467164 Kristin Anne Lombardi Pediatrics 1 Hoppin St, Suite 304, Providence, RI 02903-4141 2007-04-20
1679627798 Brett W. Goudie Pediatrics 1 Hoppin St, Coro Building, Providence, RI 02903-4141 2007-01-23
1346209459 James William Ziegler Pediatrics 1 Hoppin St, Pediatric Heart Center, Providence, RI 02903-4141 2006-03-20
1972570422 Kathleen Mary Rotondo Pediatrics 1 Hoppin St, Pediatric Heart Center; Suite 304, Providence, RI 02903-4141 2006-03-03
1720050313 Lloyd R Feit Pediatrics 1 Hoppin St, Coro West, Suite 304, Providence, RI 02903-4141 2006-02-07
1013989425 Sara Regan Ford Pediatrics 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903-4141 2006-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528152691 Silver Spring Heath Care Management, Inc Pediatrics 100 Kenyon Ave, Wakefield, RI 02879-4216 2006-10-03

Competitor

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City PROVIDENCE
Zip Code 02903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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