Virgilio Coronado Vicente
MD | Pediatrics | Male
Virgilio Coronado Vicente, MD is a Newark, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Virgilio Coronado Vicente is
155 Jefferson St, Suite # 3, Newark, New Jersey - 07105-1706. He can be contacted on phone at
973-466-0300 and fax number 973-466-1117.
Virgilio Coronado Vicente is a sole proprietor of his business.
NPI number (Unique professional ID) for Virgilio Coronado Vicente is
1780790998 which was assigned by NPPES on 21 Aug, 2006 and it was last updated on 25 Aug, 2016.
Virgilio Coronado Vicente license number is
25MA06381500 for Pediatrics (208000000X) in New Jersey.
Virgilio Coronado Vicente is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Virgilio Coronado Vicente basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Virgilio Coronado Vicente |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Virgilio Coronado Vicente address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 155 Jefferson St, Suite # 3
Newark, NJ, 07105-1706
United States |
|---|
| Phone Number : | 973-466-0300 |
|---|
| Fax Number : | 973-466-1117 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780790998 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 21 Aug, 2006 |
|---|
| Last Updated On : | 25 Aug, 2016 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Virgilio Coronado Vicente are as mentioned. Primary taxonomy code for Virgilio Coronado Vicente, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 25MA06381500 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Virgilio Coronado Vicente such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01000200800 | Other | | AMERICHOICE |
| 607241 | Other | | EMPIRE |
| 607241 | Other | | WELLCHOICE |
| 8763000002 | Other | | CIGNA |
| 2017754 | Other | | UNITED HEALTH CARE |
| 2327481 | Other | | AETNA |
| 2695833 | Other | | GHI |
| 2072459000 | Other | | AMERIHEALTH PPO HMO |
| 7949804 | Other | | UNISYS MEDICAID |
| 91899 | Other | | AMERICAID |
| P3512598 | Other | | OXFORD |
| 8763000 | Other | | CIGNA |
| K0845 | Other | | HORIZON BCBS |
| 01000200803 | Other | | AMERICHOICE |
| 1135312 | Other | | HORIZON NJ HEALTH |
| 25087 | Other | | UNIVERSITY HEALTH PLANS |
| 2K5847 | Other | | ACS HEALTHNET |
| 91899 | Other | | AMERIGROUP |
| 7949804 | MEDICAID | NJ | |
| 2366072 | Other | | AETNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 254
West Orange, NJ, 07052-0254
United States |
|---|
| Phone Number : | 973-466-0300 |
|---|
| Fax Number : | 973-466-1117 |
|---|
Business Location:
Patients can refer following map for directions to
Virgilio Coronado Vicente practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.