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MEDICAL CORAL WAY CENTER CORP
NPI 1396780185
General Practice in West Palm Beach, FL

Active since June 17, 2006CLIA 10D2007159 · Waiver
1401 S MILITARY TRL, SUITE C-1, WEST PALM BEACH, FL 33415(561) 429-3122(561) 429-3124 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1396780185
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL CORAL WAY CENTER CORP
Location Address1401 S MILITARY TRL, SUITE C-1West Palm Beach, FL 33415-5720
Mailing Address1401 S Military Trl, Suite CWest Palm Beach, FL 33415-5720 · (561) 429-3122 · Fax (561) 429-3124
Phone(561) 429-3122
Fax(561) 429-3124
Organization SubpartNo
Authorized OfficialMariela CruzPresident · (561) 429-3122
Enumeration DateJune 17, 2006
Last NPPES UpdateOctober 1, 2009
✔ NPI 1396780185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
1401 S MILITARY TRL, West Palm Beach, FL 33415
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Other Identifiers 5

OtherHCC4058FL · Health Care Clinic Licens
Medicare PIN78736XFL
Medicare PINE7045WFL
Medicare PIN79083AFL
Medicare PIN74566FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, FL
Active · expires May 9, 2028
CLIA Number10D2007159
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorMariela Cruz
Laboratory Phone(561) 429-3122
Laboratory LocationMedical Coral Way Center1401 S Military Trl Ste C, West Palm Beach, FL 33415
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SB REHABILITATION INC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1401 S MILITARY TRL, SUITE J1
WEST PALM BEACH, FL 33415
Palm Beach County (561) 436-9597
MR. BARBARO PUENTES
Chiropractor
1401 S MILITARY TRL, SUITE F2
WEST PALM BEACH, FL 33415
Palm Beach County (561) 433-4051

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 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.

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 16 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.