Provider Demographics
NPI:1912417155
Name:CORAL THERAPY INC
Entity Type:Organization
Organization Name:CORAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOMINGO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-816-6585
Mailing Address - Street 1:18350 NW 2ND AVE SUITE 614
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4569
Mailing Address - Country:US
Mailing Address - Phone:305-816-6585
Mailing Address - Fax:305-816-6037
Practice Address - Street 1:18350 NW 2ND AVE STE 614
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4569
Practice Address - Country:US
Practice Address - Phone:305-816-6585
Practice Address - Fax:305-816-6037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies