| Carlos A Corrales Md Llc | |
|
10167 Nw 31st St Ste # 102 Coral Springs FL 33065-6152 | |
| (954) 255-9760 | |
| (954) 255-9759 |
| Full Name | Carlos A Corrales Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10167 Nw 31st St, Coral Springs, Florida |
| Authorized Official Name and Position | Carlos Corrales (DOCTOR) |
| Authorized Official Contact | 9542559760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos A Corrales Md Llc 10167 Nw 31st St Ste # 102 Coral Springs FL 33065-6152 Ph: (954) 255-9760 | Carlos A Corrales Md Llc 10167 Nw 31st St Ste # 102 Coral Springs FL 33065-6152 Ph: (954) 255-9760 |
| NPI Number | 1598806549 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 05/20/2008 |
| Medicare PECOS PAC ID | 1254419765 |
|---|---|
| Medicare Enrollment ID | O20080424000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598806549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME81768 (Florida) | Primary |
| Provider Name | Carlos A Corrales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558323485 PECOS PAC ID: 9537247622 Enrollment ID: I20080415000130 |
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