# CORALMEDPR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053295816
- **Authorized official:** CORAL KAOMA JIMENEZ ROVIRA MD (OWNER)
- **Authorized official phone:** (939) 373-6791

## Contact information

- **Practice address:** ROCHELAISE CENTE OFICINA 3D, WESTERN INDUSTRIAL PARK, MAYAGUEZ, PR 00680
- **Practice address phone:** (939) 373-6791
- **Practice address fax:** (708) 854-7667
- **Mailing address:** 8 VILLA GRACIA, MAYAGUEZ, PR 00680-7171
- **Mailing address phone:** (939) 373-6791
- **Mailing address fax:** (708) 854-7667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2025
- **Last updated:** 07/09/2026