Individual provider Active NPI

Carlos F Corrales, D.O.

  • Pulmonary Disease Physician
  • North Miami Beach, FL
National Provider Identifier
1235182494
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS 2969 Issued in FL
Practice address
16855 NE 2ND Ave
Suite 302 a
North Miami Beach, FL 33162-1744
Phone
(305) 653-8566
Fax
(305) 653-4055
NPI assigned
May 18, 2006
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X OS 2969 FL Primary

Addresses

Primary practice location

16855 NE 2ND Ave
Suite 302 a
North Miami Beach, FL 33162-1744

Mailing address

16855 NE 2ND Ave
Suite 302 a
North Miami Beach, FL 33162-1744
Phone (305) 653-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 2969FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos F. Corrales, D.O., P.a. Pulmonary Disease Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1235182494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE",
            "address_2": "SUITE 302 A",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-653-8566",
            "fax_number": "305-653-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE",
            "address_2": "SUITE 302 A",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-653-8566",
            "fax_number": "305-653-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES",
        "first_name": "CARLOS",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS 2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.