CORAL REEF MEDICAL GROUP LLC
NPI 1982870143
Internal Medicine in Homestead, FL

Active since May 07, 2008CLIA 10D1101281 · Waiver
30334 OLD DIXIE HWY, HOMESTEAD, FL 33033(786) 243-0149(786) 234-2612 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coral Reef Medical Group Llc NPPES

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

CORAL REEF MEDICAL GROUP LLC (NPI 1982870143) is a healthcare organization registered as an internal medicine in Homestead, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Robert Blanco, Owner, as its authorized official.

NPPES Registry Identity

NPI1982870143
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCORAL REEF MEDICAL GROUP LLC
Location Address30334 OLD DIXIE HWYHomestead, FL 33033-3215
Mailing Address30334 Old Dixie HwyHomestead, FL 33033-3215 · (786) 243-0149 · Fax (786) 234-2612
Fax(786) 234-2612
Organization SubpartNo
Authorized OfficialRobert BlancoOwner · (786) 243-0149
Enumeration DateMay 7, 2008
Last NPPES UpdateMarch 12, 2013
NPI 1982870143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME57421
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ARNP619302 (FL), PA9103866 (FL)
30334 OLD DIXIE HWY, Homestead, FL 33033

Other Identifiers 1

Medicare UPINBD867FL

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

Accepted Insurance

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 10D1101281

Coral Reef Medical Group · Homestead, FL
Active · expires Jun 23, 2027
CLIA Number10D1101281
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorRobert Blanco
Laboratory Phone(786) 243-0149
Laboratory LocationCoral Reef Medical Group30334 Old Dixie Hwy, Homestead, FL 33033
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 4

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

Physician Assistant (Medical)
30334 OLD DIXIE HWY
HOMESTEAD, FL 33033
Internal Medicine
30334 OLD DIXIE HWY
HOMESTEAD, FL 33033
Internal Medicine
30334 OLD DIXIE HWY
HOMESTEAD, FL 33033
Exclusive Provider Organization
30334 OLD DIXIE HWY
HOMESTEAD, FL 33033

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 Coral Reef Medical Group LLC's NPI number?

The NPI number for Coral Reef Medical Group LLC is 1982870143. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Coral Reef Medical Group LLC located?

Coral Reef Medical Group LLC is located at 30334 Old Dixie Hwy, Homestead, FL 33033. The listed phone number is (786) 243-0149.

What is Coral Reef Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Coral Reef Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1101281) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coral Reef Medical Group LLC accept?

Health plans from AvMed, Molina Healthcare and Wellpoint list Coral Reef Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coral Reef Medical Group LLC was last updated on March 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.