Active NPI
Gretel K Perez Corrales, MHTC
- Technician
- Miami, FL
National Provider Identifier
1659005643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- MHTC-4688
- Practice address
- 1250 SW 27TH Ave Ste 506
Miami, FL 33135-4751 - Phone
- (786) 536-9278
- Fax
- (786) 536-5185
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Technician | 374700000X | MHTC-4688 | FL | Primary |
Addresses
Primary practice location
1250 SW 27TH Ave Ste 506
Miami, FL 33135-4751
Mailing address
1250 SW 27TH Ave Ste 506
Miami, FL 33135-4751
Phone (786) 536-9278
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHTC-4688 | FL | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1659005643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 SW 27TH AVE STE 506",
"city": "MIAMI",
"state": "FL",
"postal_code": "331354751",
"telephone_number": "786-536-9278",
"fax_number": "786-536-5185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SW 27TH AVE STE 506",
"city": "MIAMI",
"state": "FL",
"postal_code": "331354751",
"telephone_number": "786-536-9278",
"fax_number": "786-536-5185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ CORRALES",
"first_name": "GRETEL",
"middle_name": "K",
"credential": "MHTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician",
"state": "FL",
"license": "MHTC-4688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.