Active NPI
Coral Therapy & Medical Center Group Corp
- Clinic/Center
- Miami, FL
National Provider Identifier
1376965194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MA69846
- Legal business name
- CORAL THERAPY & MEDICAL CENTER GROUP CORP
- Practice address
- 4587 SW 74TH Ave
Miami, FL 33155-4409 - Phone
- (786) 366-2745
- Fax
- (305) 328-8350
- NPI assigned
- Jan 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joslayne Tapanes
- Title
- President
- Phone
- (786) 366-2745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MA69846 | Primary |
Addresses
Primary practice location
4587 SW 74TH Ave
Miami, FL 33155-4409
Mailing address
4587 SW 74TH Ave
Miami, FL 33155-4409
Phone (786) 366-2745
National Provider Directory
National Provider DirectoryLocations
4587 SW 74th Ave
Miami, FL 33155
Phone (786) 366-2745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1376965194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4587 SW 74TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554409",
"telephone_number": "786-366-2745",
"fax_number": "305-328-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4587 SW 74TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554409",
"telephone_number": "786-366-2745",
"fax_number": "305-328-8350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORAL THERAPY & MEDICAL CENTER GROUP CORP",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "TAPANES",
"authorized_official_first_name": "JOSLAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-366-2745"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": "MA69846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.