CORALMEDPR LLC
NPI 1053295816
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mayaguez, PR

Active since August 04, 2025
ROCHELAISE CENTE OFICINA 3D, WESTERN INDUSTRIAL PARK, MAYAGUEZ, PR 00680(939) 373-6791(708) 854-7667 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Mar 12, 2026, Jan 22, 2026 and 2 more (5 updates tracked since 2025).

About Coralmedpr Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORALMEDPR LLC (NPI 1053295816) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Mayaguez, Puerto Rico and active in the NPI registry since August 2025. The organization lists Coral Kaoma Jimenez Rovira, Owner, as its authorized official.

NPPES Registry Identity

NPI1053295816
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameCORALMEDPR LLC
Location AddressROCHELAISE CENTE OFICINA 3D, WESTERN INDUSTRIAL PARKMayaguez, PR 00680
Mailing Address8 Villa GraciaMayaguez, PR 00680-7171 · (939) 373-6791 · Fax (708) 854-7667
Fax(708) 854-7667
Organization SubpartNo
Authorized OfficialCoral Kaoma Jimenez RoviraOwner · (939) 373-6791
Enumeration DateAugust 4, 2025
Last NPPES UpdateJuly 9, 20265 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1053295816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coralmedpr Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coralmedpr LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1326665746
ROCHELAISE CENTE OFICINA 3D WESTERN INDUSTRIAL PARK
Mayaguez, PR 00680
(939) 373-6791
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coralmedpr LLC's NPI number?

The NPI number for Coralmedpr LLC is 1053295816. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Coralmedpr LLC located?

Coralmedpr LLC is located at Rochelaise Cente Oficina 3D Western Industrial Park, Mayaguez, PR 00680. The listed phone number is (939) 373-6791.

What is Coralmedpr LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Coralmedpr LLC enrolled in Medicare?

Yes. Coralmedpr LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coralmedpr LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Coralmedpr LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coralmedpr LLC was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.