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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes25MA06381500NJ
Legacy Identifiers:
Other legacy medical identifiers of Virgilio Coronado Vicente such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
01000200800OtherAMERICHOICE
607241OtherEMPIRE
607241OtherWELLCHOICE
8763000002OtherCIGNA
2017754OtherUNITED HEALTH CARE
2327481OtherAETNA
2695833OtherGHI
2072459000OtherAMERIHEALTH PPO HMO
7949804OtherUNISYS MEDICAID
91899OtherAMERICAID
P3512598OtherOXFORD
8763000OtherCIGNA
K0845OtherHORIZON BCBS
01000200803OtherAMERICHOICE
1135312OtherHORIZON NJ HEALTH
25087OtherUNIVERSITY HEALTH PLANS
2K5847OtherACS HEALTHNET
91899OtherAMERIGROUP
7949804MEDICAIDNJ
2366072OtherAETNA
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.