Healthcare Provider Details

I. General information

NPI: 1346171188
Provider Name (Legal Business Name): CORAL HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4833 S SHERIDAN RD STE 407
TULSA OK
74145-5718
US

IV. Provider business mailing address

4833 S SHERIDAN RD STE 407
TULSA OK
74145-5718
US

V. Phone/Fax

Practice location:
  • Phone: 918-633-5246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELIANA MAEZ QUINTERO
Title or Position: OWNER
Credential: NP
Phone: 918-633-5246