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Deactivated NPI 1023774965 Deactivated / Inactive NPI Male Practitioner

Roberto Jose Corral

Physician Assistant • 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, Roberto Corral has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 15, 2021
NPI Deactivation Date October 30, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Roberto Corral was a registered Physician Assistant practicing in Miami, FL. Throughout an active medical career spanning 3 years, Roberto Corral provided care at the practice location at 11510 SW 175TH ST until profile deactivation on 2024-10-30.

Practice Location & Contact Primary Location

Practice Address

11510 Sw 175th St

Miami, FL 331573987

Telephone 7863655402

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
662 Specialists

Practicing in Miami, FL (10376 Statewide)

Telehealth Adoption Rate
9.2% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9115296

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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 October 30, 2024

Record deactivated on October 30, 2024

NPI Profile Active November 15, 2021

NPI status registered as active in NPPES database

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Updated Practice Location November 15, 2021

Registered at 11510 SW 175TH ST, MIAMI, FL 331573987 (Tel: 7863655402)

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Updated Business Mailing Address November 15, 2021

Registered at 11510 SW 175TH ST, MIAMI, FL 331573987 (Tel: 7863655402)

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Provider Name / Credentials Updated November 15, 2021

Recorded as ROBERTO CORRAL

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2021

Physician Assistant (License #PA9115296 in FL)

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Initial NPI Registration & Enumeration November 15, 2021

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: 1023774965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2021
Last Update: November 15, 2021
Deactivation Date: October 30, 2024

Mailing Address

11510 Sw 175th St

Miami, FL 331573987

Phone: 7863655402

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.