Coral Reef Gastroenterolgy LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME95828 Issued in FL

Legal business name

CORAL REEF GASTROENTEROLGY LLC

Practice address

7765 144TH Street
Suite 6
Sebastian, FL 32958

Phone

(772) 589-0580

Fax

(772) 589-0760

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Margi Ruiz

Title

Owner

Phone

(772) 589-0580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1992955637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 144TH STREET",
            "address_2": "SUITE 6",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-589-0580",
            "fax_number": "772-589-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 144TH STREET",
            "address_2": "SUITE 6",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-589-0580",
            "fax_number": "772-589-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF GASTROENTEROLGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "MARGI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-589-0580"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME95828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Colon Caballero, MD
• Connie Lawrence-Willis OD PA
• Barbara Anne Conrad, MASSAGE THERAPIST
• Consulting Pharmacists Inc.
• Brian Keith Cooper, RPH
• Harold Joseph Cordner, M.D.
• Jorge Cortez
• Juan Cortinas-Galvan, MD
• Patrick D. Coster, DPT
• Susan M. Court, MS, OTR/L

• Gastroenterology Physician in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.