Individual provider Active NPI

Carlos A Corrales, MD

  • Family Medicine Physician
  • Margate, FL
National Provider Identifier
1558323485
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81768 Issued in FL
Practice address
5661 Coral Gate Blvd
Margate, FL 33063-1531
Phone
(954) 971-5666
Fax
(954) 973-7666
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME81768 FL Primary

Addresses

Primary practice location

5661 Coral Gate Blvd
Margate, FL 33063-1531

Mailing address

5661 Coral Gate Blvd
Margate, FL 33063-1531
Phone (954) 971-5666

Other identifiers 1

IdentifierTypeStateIssuer
263938600MedicaidFL

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
I20080415000130 FL Practitioner - Internal Medicine 9537247622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5661 Coral Gate Blvd
Margate, FL 33063-1531

5661 Nw29Th St
Margate, FL 33063-1531
Phone (954) 971-5666

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81768FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos a Corrales MD LLC Family Medicine CurrentSince Jan 1, 2008 Accepting new patients

Locations

10167 NW 31st St
Ste 102
Coral Springs, FL 33065
Phone (561) 417-9581

5661 NW 29th St
Margate, FL 33063
Phone (954) 590-2441

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1558323485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 CORAL GATE BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330631531",
            "telephone_number": "954-971-5666",
            "fax_number": "954-973-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5661 CORAL GATE BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330631531",
            "telephone_number": "954-971-5666",
            "fax_number": "954-973-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263938600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.