Provider Demographics
NPI:1639190523
Name:COREPLUS, L.L.C.
Entity Type:Organization
Organization Name:COREPLUS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:DE SOCARRAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-338-4860
Mailing Address - Street 1:PO BOX 430885
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243-0885
Mailing Address - Country:US
Mailing Address - Phone:305-265-8300
Mailing Address - Fax:305-265-2285
Practice Address - Street 1:7426 SW 48TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4415
Practice Address - Country:US
Practice Address - Phone:305-265-8300
Practice Address - Fax:305-265-2285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE909Medicare ID - Type UnspecifiedPROVIDER NUMBER