# CORAL DIAGNOSTIC CENTER INC

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

## Provider details

- **NPI number:** 1932718509
- **Authorized official:** YANIA LUGO-PEREZ (NURSE PRACTITIONER)
- **Authorized official phone:** (305) 873-3203

## Contact information

- **Practice address:** 12002 SW 128TH CT STE 202, MIAMI, FL 33186-4643
- **Practice address phone:** (786) 362-6114
- **Mailing address:** 12002 SW 128TH CT STE 202, MIAMI, FL 33186-4643
- **Mailing address phone:** (786) 362-6114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2020
- **Last updated:** 07/29/2020