Hugo Rene Coronado

Primary specialty

DentistTaxonomy code 122300000X

License

54243 Issued in CA

Practice address

6741 N Willow Ave Ste 104
Fresno, CA 93710-5955

Phone

(559) 385-7403

NPI assigned

Nov 30, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hugo Coronado DDS, Inc.

  • Dentist
  • Fresno, CA
  • NPI 1871957050
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1124196266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 N WILLOW AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105955",
            "telephone_number": "559-385-7403",
            "fax_number": "559-439-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 N WILLOW AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105955",
            "telephone_number": "559-385-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "HUGO",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Corona, CA PPS SCHOOL PSYCH
• Karina Corona
• Patricia Corona
• Steven Corona
• Abigail Coronado, LVN
• Javier Roel Coronado, M.D.
• Melissa Anette Coronado, DDS
• Sabryna Coronado
• Susan Veronica Coronado
• Crystal L Coronel

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.