Elsy M. Coronado, MD, PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

ME91527 Issued in FL

Legal business name

ELSY M. CORONADO, MD, PA

Practice address

9692 Pines Blvd
Pembroke Pines, FL 33024-6246

Phone

(305) 710-9937

Fax

(305) 633-6773

NPI assigned

Aug 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Elsy M Coronado, M.D.

Title

Owner

Phone

(305) 710-9937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1497060529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9692 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246246",
            "telephone_number": "305-710-9937",
            "fax_number": "305-633-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9692 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246246",
            "telephone_number": "305-710-9937",
            "fax_number": "305-633-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSY M. CORONADO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "ELSY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-710-9937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME91527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Pembroke Pines, FL
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• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.