Healthcare Provider Details

I. General information

NPI: 1801477419
Provider Name (Legal Business Name): THOMAS SALVATORE CORONA JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6705 SW 57TH AVE STE 312
SOUTH MIAMI FL
33143-3638
US

IV. Provider business mailing address

6705 SW 57TH AVE STE 312
SOUTH MIAMI FL
33143-3638
US

V. Phone/Fax

Practice location:
  • Phone: 305-670-8411
  • Fax: 305-670-8412
Mailing address:
  • Phone: 305-670-8411
  • Fax: 305-670-8412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4438
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: