Organization Active NPI

Coral Therapy & Medical Center Group Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1376965194
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jan 14, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.