Individual
ELSY M CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 FEDERAL HIGHWAY, MIAMI, FL 33137
(305) 376-6611
(305) 576-0008
Mailing address
3601 FEDERAL HIGHWAY, MIAMI, FL 33137
(305) 376-6611
(305) 576-0008
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME91527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265596900
—
FL
01
—
AI532Y / EFF 7-11-10
MEDICARE
FL
Enumeration date
11/08/2006
Last updated
04/12/2011
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