Maria Elena De la Pasz Corral, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 2671 Issued in FL

Practice address

1091 Port Malabar Blvd NE Ste 2
Palm Bay, FL 32905-5100

Phone

(321) 725-2405

Fax

(321) 725-2406

NPI assigned

Mar 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Elena De la Paz Corral Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1790956076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 PORT MALABAR BLVD NE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055100",
            "telephone_number": "321-725-2405",
            "fax_number": "321-725-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 PORT MALABAR BLVD NE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055100",
            "telephone_number": "321-725-2405",
            "fax_number": "321-725-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PASZ CORRAL",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ELENA",
            "last_name": "CORRAL",
            "middle_name": "DE LA PAZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.