BORIS E CORONADO MD PA (NPI# 1487776605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487776605 |
| Entity Type | Organization |
| Organization Name | BORIS E CORONADO MD PA |
| Practice Address |
5579 S Orange Ave Edgewood FL 32809-3493 |
| Mailing Address |
1657 Cherry Ridge Dr Heathrow FL 32746-1943 |
| Practice Telephone | 4072900935 |
| Practice Fax Number | 4072900935 |
| Mailing Telephone | 4072900935 |
| Mailing Fax Number | 4072900935 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | DR. BORIS EFRAIN CORONADO (PRESIDENT) |
| Authorized Official Telephone | 4072900935 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 72110 | FL | Other Service Providers |
| Street Address |
5579 S ORANGE AVE |
| City | EDGEWOOD |
| State | FL |
| Zip Code | 32809-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558823500 | Phoenix Internal Medicine LLC | Hospitalist | 5579 S Orange Ave, Edgewood, FL 32809-3493 | 2019-04-01 |
| 1750830956 | Orlando Physician Specialists LLC | Urology | 5579 S Orange Ave, Edgewood, FL 32809-3493 | 2016-09-28 |
| 1487107942 | Orlando Physician Specialists LLC | Internal Medicine | 5579 S Orange Ave, Edgewood, FL 32809-3493 | 2016-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190415 | Christopher Gerald Kessler | Specialist | 23 Pinto Rd, Edgewood, NM 87015-7935 | 2013-09-10 |
| 1477837342 | Michelle Brozick | Specialist | 2908 Meridian Ave E Ste 101, Edgewood, WA 98371-2191 | 2011-10-10 |
| 1952602641 | Kirsten Holmquist | Specialist | 2209 88th Ave E, Edgewood, WA 98371-1911 | 2010-11-11 |
| 1740416460 | Jennifer Ann George | Specialist | 4912 110th Avenue Ct E, Apt #2, Edgewood, WA 98372-2271 | 2009-06-09 |
| 1699944496 | Harford On-call Medical Services, LLC | Specialist | 2120 Emmorton Park Rd, Suite E, Edgewood, MD 21040-1066 | 2008-02-26 |
| 1043425911 | Sonya Cooper | Specialist | 45 Derek James Dr, Edgewood, NM 87015-9707 | 2007-05-13 |
| 1003032434 | Kyle Eugene Clyde | Specialist | 2809 Meridian E., Edgewood, WA 98371 | 2007-04-17 |
| 1295851178 | Lori Erpenbeck | Specialist | 1 Sperti Dr, Edgewood, KY 41017-9654 | 2007-03-22 |
| 1730175472 | Juanito F. Lopez Jr. | Specialist | 1012 Edgewood Rd, Edgewood, MD 21040-1606 | 2005-09-27 |
| 1932449113 | Bebe Makena | Specialist | 1851 Old Us 66, Edgewood, NM 87015 | 2013-02-25 |
| Find all providers in EDGEWOOD | ||||
Please comment or provide details below to improve the information on BORIS E CORONADO MD PA.
| 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.