Camacho Rodriguez, Maelyn Lazara

Camacho Rodriguez, Maelyn Lazara is an individual health care provider with primary practice located at 1060 W 49Th St , Hialeah FL 33012-3322. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Camacho Rodriguez, Maelyn Lazara can be contacted via phone (844) 665-4827.

Contact Information

Primary practice address
1060 W 49Th St Hialeah FL 33012-3322
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN569 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18593 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME137603 Florida

Profile Details

NPI number 1689098527
LBN Legal business name Camacho Rodriguez, Maelyn Lazara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2014
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689098527 NPPES
Florida Other ME137603 MEDICAL LICENSE
Florida MEDICAID 012354200 MEDICAL LICENSE
Florida Other ACN569 MEDICAL LICENSE

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