Coral Therapy Group Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CORAL THERAPY GROUP INC.

Practice address

1701 W Flagler St Ste 215
Miami, FL 33135-2018

Phone

(305) 586-2088

Fax

(786) 953-5613

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Giselle Ibanez, LMT

Title

President

Phone

(305) 586-2088

Specialties & licenses 1

Addresses

Other names 1

• CORALTHERAPY GROUP INC Former legal business name

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891223145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST STE 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352018",
            "telephone_number": "305-586-2088",
            "fax_number": "786-953-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST STE 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352018",
            "telephone_number": "305-586-2088",
            "fax_number": "786-953-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL THERAPY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-586-2088",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORALTHERAPY GROUP INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Coral Supplies Inc
• Coral Terrace Alf, Inc.
• Coral Terrace Hospital LLC
• Coral Therapy & Medical Center Group Corp
• Coral Therapy Corp
• Coral Therapy Inc
• Coral Therapy Inc
• Coral Therapy Massage Corp
• Coral Therapy Rehab Center Co
• Coral Trainers

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.