EZEQUIEL CARABALLO NIEBLA MD – NPI #1154270593
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

EZEQUIEL CARABALLO NIEBLA is a physician located in SAINT CLOUD, FL. NPPES has assigned the NPI number 1154270593 to EZEQUIEL CARABALLO NIEBLA on January 27, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Feb 17, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EZEQUIEL CARABALLO NIEBLA below.

NPI Profile for
EZEQUIEL CARABALLO NIEBLA

NPI Number
1154270593
Enumeration Date

(about 4 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EZEQUIEL CARABALLO NIEBLA
Credentials
MD
Primary location
4160 HOLSTEIN ST
SAINT CLOUD, FL 34772-9214
Phone: (407) 818-9652 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Feb 17, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PR 024806

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.