Gabriel Coro, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9244523 Issued in FL

Practice address

8501 SW 124TH Ave Ste 110
Miami, FL 33183-4631

Phone

(786) 808-8555

Fax

(786) 360-1100

NPI assigned

Oct 19, 2015

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matmed LLC

  dba Miami Wellness

  • Pain Medicine (Anesthesiology) Physician
  • Miami, FL
  • NPI 1447783220
  Medicare reassignment NPD
• Matmed LLC

  dba Miami Wellness

  • Interventional Pain Medicine Physician
  • Miami, FL
  • NPI 1649793035
  NPD (past)
• Matmed LLC

  dba Miami Wellness

  • Pain Medicine (Anesthesiology) Physician
  • Plantation, FL
  • NPI 1831874775
  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1073984860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834631",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 NW 70th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172360",
            "country_code": "US",
            "telephone_number": "786-808-8555",
            "fax_number": "754-200-4971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Ponce De Leon Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331344475",
            "country_code": "US",
            "telephone_number": "786-808-8555",
            "fax_number": "305-982-8798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7791 NW 146th St",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161567",
            "country_code": "US",
            "telephone_number": "786-808-8555",
            "fax_number": "305-967-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORO",
        "first_name": "GABRIEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9244523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017480400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabriel.coro@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "522 East 25 Street",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Coro Pediatric Dentistry
• Elsa Maria Coro Penabad, APRN
• Melissa Coro Rosales
• Leslie Coro-Santoyo, M.S., CCC-SLP
• Ana Margarita Coro, ARNP
• Ignacio Coro, MD
• Joan Coro
• Ryan Coro, RBT
• Yamice Coro, RBT
• Yusimi Coro

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.