Organization Active NPI

Dulce Maria Corrales P.a.

  • Primary Care Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1922845650
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DULCE MARIA CORRALES P.A.
Practice address
116 Rosalyn Ave FL USA
Daytona Beach, FL 32118-5131
Phone
(352) 208-9129
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Dr. Dulce Maria Corrales, OMDNPI 1164607859
Title
Owner
Phone
(352) 208-9129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

116 Rosalyn Ave FL USA
Daytona Beach, FL 32118-5131

Mailing address

116 Rosalyn Ave FL USA
Daytona Beach, FL 32118-5131
Phone (352) 208-9129

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1922845650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROSALYN AVE FL USA",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185131",
            "telephone_number": "352-208-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ROSALYN AVE FL USA",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185131",
            "telephone_number": "352-208-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULCE MARIA CORRALES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "CORRALES",
        "authorized_official_first_name": "DULCE MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-208-9129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.