Active NPI
Roberto B Corales, DO
- Infectious Disease Physician
- Rochester, NY
National Provider Identifier
1457357378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 198349
- Practice address
- 259 Monroe Ave
Rochester, NY 14607-3632 - Phone
- (585) 545-7200
- Fax
- (585) 244-6456
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 198349 | NY | Primary |
Addresses
Primary practice location
259 Monroe Ave
Rochester, NY 14607-3632
Mailing address
259 Monroe Ave
Rochester, NY 14607-3632
Phone (585) 545-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02113404 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 198349 | NY | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1457357378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 MONROE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146073632",
"telephone_number": "585-545-7200",
"fax_number": "585-244-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 MONROE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146073632",
"telephone_number": "585-545-7200",
"fax_number": "585-244-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORALES",
"first_name": "ROBERTO",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "198349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02113404",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.