Coral Injury Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CORAL INJURY CENTER INC

Practice address

1490 S Military TRL
West Palm Beach, FL 33415-9190

Phone

(561) 889-9126

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Fidel L Alvarez

Title

Owner

Phone

(561) 889-9126

Specialties & licenses 1

Addresses

Tax ID family

Coral Behavioral Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coral Injury Center Inc

  dba Coral Behavioral Services

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1912671652
  NPD tax ID

Locations

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1881367621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 S MILITARY TRL STE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 S MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159190",
            "telephone_number": "561-889-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL INJURY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-889-9126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cor Medical Centers of West Palm Beach
• Cora Health Services Inc (CORA Physical Therapy - West Palm Beach)
• Cora Rehabilitation
• Coral Bay Health Care Associates LLC (Coral Bay Healthcare and Rehabilitation)
• Coral Injury Center Inc (Coral Medical Center)
• Coral Injury Center Inc (Coral Behavioral Services)
• Coral Therapy and Medical Center, Inc
• Milly Corbo, RBT
• Madelin E Cordero
• Nazarena Cordero, LCAT

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.