Individual provider Active NPI

Enme G Corrales Reyes, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Sunrise, FL
National Provider Identifier
1265625701
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME108744 Issued in FL
Practice address
14201 W Sunrise Blvd Ste 207
Sunrise, FL 33323-3207
Phone
(954) 686-7057
Fax
(954) 218-5077
NPI assigned
Aug 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X ME108744 FL
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME108744 FL Primary

Addresses

Primary practice location

14201 W Sunrise Blvd Ste 207
Sunrise, FL 33323-3207

Mailing address

9960 NW 116TH Way Ste 13
Medley, FL 33178-1175
Phone (786) 924-1311

Other identifiers 1

IdentifierTypeStateIssuer
003721000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address enme.corralesreyes@fcn.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000145 FL Practitioner - NeurologyPractitioner - Pediatric Medicine 8921258153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

14201 W Sunrise Blvd
Suite 206
Sunrise, FL 33323-3207
Phone (954) 686-7057

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 987-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP Epilepsy CurrentSince Jun 1, 2019 Accepting new patients

Locations

9960 NW 116th Way
Ste 13
Medley, FL 33178

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

3200 SW 60th Ct
Ste 302
Miami, FL 33155
Phone (305) 662-8330

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

14201 W Sunrise Blvd
Ste 206
Sunrise, FL 33323
Phone (954) 686-7057

14201 W Sunrise Blvd
Ste 207
Sunrise, FL 33323
Phone (954) 505-5000

2900 S Commerce Pkwy
Weston, FL 33331
Phone (954) 385-6200

Interoperability endpoints

  • Direct secure messaging: enme.corralesreyes@fcn.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1265625701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY STE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 207",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-686-7057",
            "fax_number": "954-218-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES REYES",
        "first_name": "ENME",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "FL",
            "license": "ME108744",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME108744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003721000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enme.corralesreyes@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "14201 W Sunrise Blvd Ste 207",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333233207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.