Individual provider Active NPI

Ignacio Coro, MD

  • Neuromusculoskeletal Medicine & OMM Physician
  • Miami, FL
National Provider Identifier
1083778641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
ME0041646 Issued in FL
Practice address
9950 SW 40TH St
Miami, FL 33165-3944
Phone
(305) 551-7340
Fax
(305) 226-6695
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X ME0041646 FL Primary

Addresses

Primary practice location

9950 SW 40TH St
Miami, FL 33165-3944

Mailing address

9950 SW 40TH St
Miami, FL 33165-3944
Phone (305) 551-7340

Other identifiers 1

IdentifierTypeStateIssuer
267444100OtherFLMEDICAID PROVIDER

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000404 FL Practitioner - Orthopedic SurgeryPractitioner - General PracticePractitioner - Family Practice 3870651342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9950 SW 40TH St
Miami, FL 33165-3944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0041646FLMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Traumatology & Rehab Center Inc CurrentSince May 28, 2003 Accepting new patients

Locations

9950 SW 40th St
Miami, FL 33165
Phone (305) 551-7340

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083778641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653944",
            "telephone_number": "305-551-7340",
            "fax_number": "305-226-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653944",
            "telephone_number": "305-551-7340",
            "fax_number": "305-226-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORO",
        "first_name": "IGNACIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "ME0041646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER",
            "identifier": "267444100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.