Coral Therapy and Medical Center, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CH4496 Issued in FL

Legal business name

CORAL THERAPY AND MEDICAL CENTER, INC

Practice address

1509 N Military TRL Ste 212
West Palm Beach, FL 33409-4765

Phone

(561) 697-2904

Fax

(561) 697-2906

NPI assigned

May 7, 2010

Organization subpart

No

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

Authorized official

Name

Lazaro D Rodriguez, CH

Title

President

Phone

(561) 697-2904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1376861807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N MILITARY TRL STE 212",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094765",
            "telephone_number": "561-697-2904",
            "fax_number": "561-697-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N MILITARY TRL STE 212",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094765",
            "telephone_number": "561-697-2904",
            "fax_number": "561-697-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL THERAPY AND MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-697-2904",
        "authorized_official_credential": "CH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "CH4496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora Rehabilitation
• Coral Bay Health Care Associates LLC
• Coral Injury Center Inc
• Coral Injury Center Inc
• Coral Injury Center Inc
• Milly Corbo, RBT
• Madelin E Cordero
• Nazarena Cordero, LCAT
• James Joseph Cordiano Jr., LMHC
• Kiera Cordiano, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.