LAZARO FRAGA MD PA (NPI# 1245413905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245413905 |
| Entity Type | Organization |
| Organization Name | LAZARO FRAGA MD PA |
| Practice Address |
4131 Sw 6th St Coral Gables FL 33134-2057 |
| Mailing Address |
4141 Sw 6th St Coral Gables FL 33134-2057 |
| Practice Telephone | 3054435031 |
| Mailing Telephone | 3053633675 |
| Mailing Fax Number | 3054422207 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | RENE CASANOVA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3053633675 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 279233800 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ACN961 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 273617000 | 05 | |
| FL | 279233800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4141 Sw 6th St, Coral Gables, FL 331342057 | 3054435031 | 3054420844 |
| Street Address |
4131 SW 6TH ST |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447793914 | Idelis Martinez | Nurse Practitioner | 4131 Sw 6th St, Coral Gables, FL 33134-2057 | 2016-11-30 |
| 1710434485 | Primecare Family Centers Corp | Pediatrics | 4131 Sw 6th St, Coral Gables, FL 33134-2057 | 2016-09-09 |
| 1093159485 | Primecare Medical Management | Point of Service | 4131 Sw 6th St, Coral Gables, FL 33134-2057 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| Find all providers in zip 33134 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902449275 | Jenny Honderd | Family Medicine | 3100 Galiano Ct, Coral Gables, FL 33134-6815 | 2019-10-19 |
| 1174914113 | Best Options Medical Services | Family Medicine | 5501 Sw 6th St, Coral Gables, FL 33134-1057 | 2015-02-12 |
| 1639513344 | France Occy | Family Medicine | 806 S Douglas Rd # 820, Coral Gables, FL 33134-3157 | 2013-04-24 |
| 1225315856 | Ira S Jacobson | Family Medicine | 299 Cocoplum Rd, Coral Gables, FL 33143-6406 | 2011-11-10 |
| 1689807166 | Pooja Goel | Family Medicine | 5555 Ponce De Leon Blvd Ste 128, Coral Gables, FL 33146-2513 | 2009-08-31 |
| 1881851665 | Barry Michael Siegel | Family Medicine | 13643 Deering Bay Dr Apt 116, Coral Gables, FL 33158-2819 | 2008-05-20 |
| 1578742946 | Paul A. Gutlohn | Family Medicine | 1125 Hardee Rd, Coral Gables, FL 33146-3228 | 2007-11-01 |
| 1073701074 | Complete Care Center of Miami Inc | Family Medicine | 1301 Ponce De Leon Blvd, Coral Gables, FL 33134-3324 | 2007-10-04 |
| 1760526867 | Mario Torres Md Pa | Family Medicine | 2727 Ponce De Leon Blvd, Coral Gables, FL 33134-6004 | 2007-02-20 |
| 1073674750 | The Gables Rehabilitation Center, LLC | Family Medicine | 3727 Sw 8th St, Suite 105, Coral Gables, FL 33134-3158 | 2006-12-13 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33134 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.