Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ulises Ernesto Carballosa Fernandez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558051367

Ulises Ernesto Carballosa Fernandez is a Student in an Organized Health Care Education/Training Program in Ashtabula, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2023
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Ashtabula, OH

Additional practice locations (1)

  • 4071 Lee Rd Ste 260, Cleveland, OH 44128-2173 — (216) 727-1164

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 30.028142 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RES.004578 (OH)

Record details

NPI number1558051367
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 15, 2023
Last updated in NPPESJuly 17, 2025
Certification dateJuly 14, 2025

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