Individual
DR. IGNACIO CORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9950 SW 40TH ST, MIAMI, FL 33165-3944
(305) 551-7340
(305) 226-6695
Mailing address
9950 SW 40TH ST, MIAMI, FL 33165-3944
(305) 551-7340
(305) 226-6695
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
ME0041646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267444100
MEDICAID PROVIDER
FL
Enumeration date
12/20/2006
Last updated
07/08/2007
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