MEDICAL CORAL WAY CENTER CORP
NPI 1396780185
General Practice in West Palm Beach, FL
About Medical Coral Way Center Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL CORAL WAY CENTER CORP (NPI 1396780185) is a healthcare organization registered as a general practice in West Palm Beach, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Mariela Cruz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Coral Way Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Medical Coral Way Center Corp, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2007159
Medical Coral Way Center · West Palm Beach, FLFrequently 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 Medical Coral Way Center Corp's NPI number?
The NPI number for Medical Coral Way Center Corp is 1396780185. It was assigned to this organization in the NPPES registry on June 17, 2006.
Where is Medical Coral Way Center Corp located?
Medical Coral Way Center Corp is located at 1401 S Military Trl Suite C-1, West Palm Beach, FL 33415. The listed phone number is (561) 429-3122.
What is Medical Coral Way Center Corp's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Medical Coral Way Center Corp enrolled in Medicare?
Yes. Medical Coral Way Center Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Coral Way Center Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Medical Coral Way Center Corp. 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. The largest specialties are Nurse Practitioner (10) and Internal Medicine (3). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medical Coral Way Center Corp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2007159) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medical Coral Way Center Corp was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# Medical Coral Way Center Corp · NPI 1396780185
General Practice organization in West Palm Beach, Florida. Organization record, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1396780185 (Entity type: Organization)
- **Enumerated:** June 17, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Mariela Cruz, PRESIDENT
## Practice location
- **Address:** 1401 S MILITARY TRL, SUITE C-1, West Palm Beach, FL 33415-5720
- **Phone:** (561) 429-3122 · **Fax:** (561) 429-3124
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Internal Medicine (3); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2009
- **Other identifiers:** Other HCC4058 (FL); Medicare PIN 78736X (FL); Medicare PIN E7045W (FL); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396780185) · Data from the CMS NPPES public registry.