CORAL REEF MEDICAL GROUP LLC (NPI# 1982870143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982870143 |
| Entity Type | Organization |
| Organization Name | CORAL REEF MEDICAL GROUP LLC |
| Practice Address |
30334 Old Dixie Hwy Homestead FL 33033-3215 |
| Practice Telephone | 7862430149 |
| Practice Fax Number | 7862342612 |
| Mailing Telephone | 7862430149 |
| Mailing Fax Number | 7862342612 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | MR. ROBERT BLANCO (OWNER) |
| Authorized Official Telephone | 7862430149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ARNP619302 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | PA9103866 | FL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ME57421 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
30334 OLD DIXIE HWY |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376563668 | Miami Dade Health and Rehabilitation Services | Exclusive Provider Organization | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2006-07-20 |
| 1235534546 | Denis Nunez Sanchez | Nurse Practitioner | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2014-10-29 |
| 1811313190 | Anisia Otero | Family Medicine | 30334 Old Dixie Hwy, Homestead, FL 33033 | 2014-03-11 |
| 1679603237 | Olga Lopez | Physician Assistant | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2007-03-06 |
| 1144315300 | Antonio E. Blanco, M.d., P.a. | Internal Medicine | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2006-10-04 |
| 1336231562 | Antonio E Blanco | Internal Medicine | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841702156 | Inpatient Medical Management, LLC. | Internal Medicine | 21059 Sw 238 Street, Homestead, FL 33031 | 2017-10-26 |
| 1932625373 | Homestead Medical Center LLC | Internal Medicine | 704 Washington Ave, Homestead, FL 33030-6012 | 2017-08-17 |
| 1730597436 | Toirac Medical Services, Corp | Internal Medicine | 50 Nw 15th St Ste 101, Homestead, FL 33030-4267 | 2014-07-25 |
| 1245577592 | Medical Center of Homestead Pa | Internal Medicine | 830 N Krome Ave, Homestead, FL 33030-4407 | 2013-01-07 |
| 1417237322 | Power Medical Center, Inc. | Internal Medicine | 107 N Krome Ave, Homestead, FL 33030-6016 | 2011-08-23 |
| 1760629760 | Alejandro Danilo Jorrin | Internal Medicine | 290 Ne 8 St, Homestead, FL 33030 | 2009-01-13 |
| 1023228988 | Jose Antonio Cobiella | Internal Medicine | 950 N Krome Ave Ste 203, Homestead, FL 33030-4455 | 2007-05-22 |
| 1942370002 | Farida Rahim Nazarally | Internal Medicine | 18680 Sw 376th St, Homestead, FL 33034-6304 | 2006-11-08 |
| 1134227838 | True Care Medical Services, Inc. | Internal Medicine | 311 Ne 8th St, Suite # 101, Homestead, FL 33030-4738 | 2006-09-20 |
| 1003874561 | Carlos Manuel Martinez | Internal Medicine | 235 Ne 8th St, Homestead, FL 33030 | 2006-05-03 |
| Find all providers in HOMESTEAD | ||||
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| 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.