Lazaro Fraga Md Pa

LBN: Lazaro Fraga Md Pa
Lazaro Fraga Md Pa is an health care organization with primary practice located at 4131 Sw 6Th St , Coral Gables FL 33134-2057. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Lazaro Fraga Md Pa can be contacted via phone (305) 443-5031, or through Casanova, Rene via phone (305) 363-3675.

Contact Information

Primary practice address
4131 Sw 6Th St Coral Gables FL 33134-2057
Phone: (305) 443-5031
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Casanova, Rene Doctor of Medicine (MD)
Phone: (305) 363-3675

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ACN961 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 279233800 Florida

Profile Details

NPI number 1245413905
LBN Legal business name Lazaro Fraga Md Pa
DBA Doing business as
Authorized official Casanova, Rene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2007
Last updated Mar 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245413905 NPPES
Florida MEDICAID 273617000
Florida MEDICAID 279233800

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