Organization
CORAL DIAGNOSTIC CENTER INC
Active
Organization
CORAL DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIA LUGO-PEREZ (NURSE PRACTITIONER)
(305) 873-3203
Entity
Organization
Contact information
Practice address
12002 SW 128TH CT STE 202, MIAMI, FL 33186-4643
(786) 362-6114
Mailing address
12002 SW 128TH CT STE 202, MIAMI, FL 33186-4643
(786) 362-6114
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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