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Deactivated NPI 1649382102 Deactivated / Inactive NPI Male Practitioner

Dr. Roman Corrales , DDS, PA

Dentist - General Practice • Miami, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roman Corrales has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date January 10, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Roman Corrales, DDS, PA was a registered Dentist - General Practice practicing in Miami, FL. Throughout an active medical career spanning 18 years, Dr. Corrales provided care at the practice location at 11496 QUAIL ROOST DR until profile deactivation on 2024-01-10.

Practice Location & Contact Primary Location

Practice Address

11496 Quail Roost Dr

Miami, FL 331576575

Telephone 3052527742
Fax 3052357254

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
530 Specialists

Practicing in Miami, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 0013212

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 10, 2024

Record deactivated on January 10, 2024

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 11496 QUAIL ROOST DR, MIAMI, FL 331576575 (Tel: 3052527742)

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Updated Business Mailing Address July 09, 2007

Registered at 11496 QUAIL ROOST DR, MIAMI, FL 331576575 (Tel: 3052527742)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ROMAN CORRALES, D.D.S., P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #0013212 in FL)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649382102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 09, 2007
Deactivation Date: January 10, 2024

Mailing Address

11496 Quail Roost Dr

Miami, FL 331576575

Phone: 3052527742

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.