Coral Injury Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC6101 Issued in FL

Legal business name

CORAL INJURY CENTER INC

Doing business as

Coral Medical Center

Practice address

1490 S. Military Trail
Suite 7
West Palm Beach, FL 33415-9141

Phone

(561) 323-2552

Fax

(561) 557-9557

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Fidel L. Alvarez

Title

President

Phone

(786) 486-8063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coral Medical Center Doing business as

Locations

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1144479890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 S. MILITARY TRAIL",
            "address_2": "SUITE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159141",
            "telephone_number": "561-323-2552",
            "fax_number": "561-557-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 S. MILITARY TRAIL",
            "address_2": "SUITE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159141",
            "telephone_number": "561-323-2552",
            "fax_number": "561-557-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL INJURY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-486-8063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC6101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coral Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Nicholson Copeland, ARNP NP-C
• Cor Medical Centers of West Palm Beach
• Cora Health Services Inc
• Cora Rehabilitation
• Coral Bay Health Care Associates LLC
• Coral Injury Center Inc
• Coral Injury Center Inc
• Coral Therapy and Medical Center, Inc
• Milly Corbo, RBT
• Madelin E Cordero

• Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.