MEDICAL CORAL WAY CENTER CORP (NPI# 1396780185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396780185 |
| Entity Type | Organization |
| Organization Name | MEDICAL CORAL WAY CENTER CORP |
| Practice Address |
1401 S Military Trl Suite C-1 West Palm Beach FL 33415-5720 |
| Mailing Address |
1401 S Military Trl Suite C West Palm Beach FL 33415-5720 |
| Practice Telephone | 5614293122 |
| Practice Fax Number | 5614293124 |
| Mailing Telephone | 5614293122 |
| Mailing Fax Number | 5614293124 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | MRS. MARIELA CRUZ (PRESIDENT) |
| Authorized Official Telephone | 5614293122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEALTH CARE CLINIC LICENS | HCC4058 | 01 |
| Street Address |
1401 S MILITARY TRL SUITE C-1 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33415-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821407826 | Rene Coto Borges | General Practice | 1401 S Military Trl, West Palm Beach, FL 33415-5720 | 2014-08-05 |
| 1386808749 | Barbaro Puentes | Chiropractor | 1401 S Military Trl, Suite F2, West Palm Beach, FL 33415-5720 | 2008-07-15 |
| 1104964220 | Sb Rehabilitation Inc | Clinic/Center | 1401 S Military Trl, Suite J1, West Palm Beach, FL 33415-5720 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670613 | Briana Howard | Social Worker | 631-sea Pine Way F2, Greenacres, FL 33415 | 2020-02-05 |
| 1023648821 | Belen Home Care | Assisted Living Facility | 4584 Sutton Terra South, West Palm Beach, FL 33415 | 2020-01-21 |
| 1013556315 | Titan Chiropractic & Rehab | Chiropractor | 655 N Military Trail Ste 9, West Palm Beach, FL 33415 | 2020-01-03 |
| 1467006916 | Bradley Martin | Student in an Organized Health Care Education/Training Program | 5189 Pine Abbey Drive South, West Palm Beach, FL 33415 | 2019-08-01 |
| 1508370131 | Lisa Palmieri | Physical Therapist | 5056 Wallis Rd, West Palm Beach, FL 33415 | 2017-11-17 |
| 1093233637 | Anay Piloto Garcia | Behavior Technician | 1851 W Chatham Rd, West Palm Beach, FL 33415 | 2017-09-05 |
| 1356897631 | Leida C Alarcon | Technician, Other | 2221 White Pine Cir Apt D, Greenacres, FL 33415 | 2016-08-28 |
| 1689061996 | Antonio Cruz | Physical Therapy Assistant | 2939 S Haverhill Road, Wpb, FL 33415 | 2015-04-24 |
| 1780019034 | Michele Thune | Nurse Practitioner | 942 Scott Dr, West Palm Beach, FL 33415 | 2013-09-05 |
| 1780017657 | Genesis Rehab Services | Skilled Nursing Facility | 6414 13th Rd. South, Woodlake, West Palm Beach, FL 33415 | 2013-08-15 |
| Find all providers in zip 33415 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835259 | Myemcdoc LLC | General Practice | 931 Village Blvd Ste 135, West Palm Beach, FL 33409-1803 | 2020-06-12 |
| 1811473432 | My Visiting Provider | General Practice | 100 Century Blvd Ste 201, West Palm Beach, FL 33417 | 2018-07-17 |
| 1508376450 | Apex Health Wellington LLC | General Practice | 1411 N Flagler Dr Ste 7600, West Palm Beach, FL 33401-3419 | 2017-10-05 |
| 1295276715 | George Woy | General Practice | 2573 Irma Lake Dr, West Palm Beach, FL 33411-5734 | 2017-03-16 |
| 1457897290 | Gary Jay Dellerson | General Practice | 2402 Embassy Dr, West Palm Beach, FL 33401-1013 | 2017-01-18 |
| 1871955005 | Alexander Khrestian | General Practice | 1002 Green Pine Blvd Apt E1, West Palm Beach, FL 33409-7011 | 2016-03-26 |
| 1598081416 | Jennifer Lee Guthrie | General Practice | 224 Datura St Ste 315, West Palm Beach, FL 33401-5631 | 2010-04-16 |
| 1093030835 | Rx for Health | General Practice | 1964 S Congress Ave, West Palm Beach, FL 33406-6674 | 2010-04-05 |
| 1831412154 | Center Point Medical LLC | General Practice | 13420 Doubletree Circle, West Palm Beach, FL 33414 | 2010-03-02 |
| 1437399730 | Wilbert R. Del Valle Rivera | General Practice | 2001 Palm Beach Lakes Blvd Ste 400, West Palm Beach, FL 33409-6516 | 2009-02-26 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33415 |
Please comment or provide details below to improve the information on MEDICAL CORAL WAY CENTER CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.