Active NPI 1154270593 Individual Practitioner Male Practitioner

Dr. Ezequiel Caraballo Niebla , MD

General Practice • Saint Cloud, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ezequiel Caraballo Niebla, MD is a registered healthcare professional specializing in General Practice in Saint Cloud, FL. Practice services are available at 4160 HOLSTEIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4160 Holstein St

Saint Cloud, FL 347729214

Telephone 4078189652

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Saint Cloud, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

19 Specialists

Practicing in Saint Cloud, FL (2490 Statewide)

Telehealth Adoption Rate

47.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-14

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1798

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

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 024806

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

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2026

General Practice (License #ACN1798 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

General Practice (License #024806 in PR)

✅

NPI Profile Active January 27, 2026

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2026

Registered at 4160 HOLSTEIN ST, SAINT CLOUD, FL 347729214 (Tel: 4078189652)

📍

Updated Business Mailing Address January 27, 2026

Registered at 4160 HOLSTEIN ST, SAINT CLOUD, FL 347729214 (Tel: 4078189652)

👤

Provider Name / Credentials Updated January 27, 2026

Recorded as EZEQUIEL CARABALLO NIEBLA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2026

General Practice (License #17257 in PR)

🟢

Initial NPI Registration & Enumeration January 27, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154270593

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 27, 2026

Last Update: June 14, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4160 Holstein St

Saint Cloud, FL 347729214

Phone: 4078189652

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.