Individual
VIRGILIO CORONADO VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06381500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000200800
AMERICHOICE
—
01
—
01000200803
AMERICHOICE
—
01
—
1135312
HORIZON NJ HEALTH
—
01
—
2017754
UNITED HEALTH CARE
—
01
—
2072459000
AMERIHEALTH PPO HMO
—
01
—
2327481
AETNA
—
01
—
2366072
AETNA
—
01
—
25087
UNIVERSITY HEALTH PLANS
—
01
—
2695833
GHI
—
01
—
2K5847
ACS HEALTHNET
—
01
—
607241
EMPIRE
—
01
—
7949804
UNISYS MEDICAID
—
05
—
7949804
—
NJ
01
—
8763000
CIGNA
—
01
—
8763000002
CIGNA
—
01
—
91899
AMERICAID
—
01
—
K0845
HORIZON BCBS
—
01
—
P3512598
OXFORD
—
Enumeration date
08/21/2006
Last updated
08/25/2016
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