Mauricio Coro, PHARMD
Individual provider Active NPI Pharmacist · Key Biscayne, FL
NPI 1043369382 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043369382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS41664 (FL)
- Practice address
- 604 Crandon Blvd
Winn Dixie 318
Key Biscayne, FL 33149 - Phone
- (305) 365-8319
- Fax
- (305) 365-8312
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41664 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41664 | FL | Yes |
Addresses
Primary practice location
604 Crandon Blvd
Winn Dixie 318
Key Biscayne, FL 33149
Mailing address
12840 SW 43 Dr
Apt 177 B
Miami, FL 33175
Phone (305) 480-0536
Other providers in Key Biscayne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.