Coral Park Medical Center, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME49899 Issued in FL

Legal business name

CORAL PARK MEDICAL CENTER, PA

Practice address

900 SW 97TH Ave
Miami, FL 33174-2935

Phone

(305) 225-8444

Fax

(305) 225-3020

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Maritza Diaz, M.D.

Title

President

Phone

(305) 225-8444

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1730480880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742935",
            "telephone_number": "305-225-8444",
            "fax_number": "305-225-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742935",
            "telephone_number": "305-225-8444",
            "fax_number": "305-225-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL PARK MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-225-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME49899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061498000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME49899",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Coral Medical Rehab-Center Inc.
• Coral New Rehabilitation Center, Inc.
• Coral Palm Medical Center
• Coral Park Rehab Center
• Coral Park Senior Care
• Coral Point Dental Associates
• Coral Reef Dental Center
• Coral Reef Medical of Kendall LLC

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.