Coronado Medical Rehabilitation , Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH 5345 Issued in FL

Legal business name

CORONADO MEDICAL REHABILITATION , INC

Practice address

949 SW 122 Ave
Miami, FL 33184

Phone

(305) 221-9501

Fax

(305) 221-9504

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Stephen Lovell

Title

President

Phone

(305) 221-9501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1578846606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842406",
            "telephone_number": "305-221-9501",
            "fax_number": "305-221-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 SW 122 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33184",
            "telephone_number": "305-221-9501",
            "fax_number": "305-221-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONADO MEDICAL REHABILITATION , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-221-9501"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH 5345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Joel Corona Olivares, M.D.
• Andres Corona, MD
• Gipsys Corona
• Coronado Maximo Health Care Inc
• Coronado Maximo Health Care, Inc
• Berky Coronado-Picallo, M.S.
• Elsy M Coronado, MD
• Irene Coronado, PT
• Jamny Coronado, M.S.
• Javier Alexander Coronado

• Rehabilitation Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.