Myrna Coronado in San Ysidro - Adult Medicine
Myrna Coronado - NPI 1710147566
Myrna Coronado is a Adult Medicine in San Ysidro, California. Myrna Coronado practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Myrna Coronado is 1710147566. The last update date is 2011-02-02.
Myrna Coronado's current location address is 4004 Beyer Blvd, San Ysidro, California. You can contact this provider via phone number 6194281330 and fax number 6194287952. The mailing address for Myrna Coronado is 4004 Beyer Blvd, San Ysidro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myrna Coronado |
|---|---|
| Address | 4004 Beyer Blvd, San Ysidro, California |
| Phone Number | 6194281330 |
| Fax Number | 6194287952 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710147566 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2011-02-02 |
Provider Mailing Address Detail
| Address | 4004 Beyer Blvd |
|---|---|
| City | San Ysidro |
| State | California (CA) |
| Post Code | 921732007 |
| Phone Number | 6194281330 |
| Fax Number | 6194287952 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | A112627 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique identifier code issued to Myrna Coronado by the Centers for Medicare & Medicaid Services?
The Myrna Coronado has been assigned the NPI (National Provider Identifier) 1710147566. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Myrna Coronado is geographically located?
The Myrna Coronado is physically situated at the following location: 4004 Beyer Blvd, San Ysidro, CA, 921732007.
What is Myrna Coronado's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Myrna Coronado is Adult Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0505X.
On what date was the 1710147566 assigned to Myrna Coronado?
The Myrna Coronado was issued its 1710147566 on 2008-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Myrna Coronado most recently updated or revised?
The information pertaining to Myrna Coronado, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-02.
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