Coronado Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORONADO SURGERY CENTER

Practice address

880 Seven Hills Dr Ste 140
Henderson, NV 89052-4380

Phone

(702) 932-8368

Fax

(702) 932-8377

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Crovetti Jr., DO

Title

Owner

Phone

(702) 932-8368

Specialties & licenses 1

Addresses

Tax ID family

Coronado Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coronado Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Henderson, NV
  • NPI 1235363987
  NPD tax ID

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1346427689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "702-932-8368",
            "fax_number": "702-932-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SEVEN HILLS DR STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524380",
            "telephone_number": "702-932-8368",
            "fax_number": "702-932-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONADO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "CROVETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-932-8368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenelle Marjorie Nicole Corkill, ND
• Keith Laurence Apostol Cornel, D.O.
• Skylar Cornwell
• Mayra Corona
• Coronado Canyon Dentistree (Eleazar Viray Santiago Gen PTR)
• Coronado Surgery Center, LLC
• Coronado Surgical LLC
• Coronado Surgical Recovery Suites
• Andrea Corral Rodriguez
• Janine Cabaccang Corrales, PHARMD

• Ambulatory Surgical Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.