| Lazaro H Cordoves Md Pa | |
|
5951 Nw 173rd Dr Suite 7 Hialeah FL 33015-5112 | |
| (305) 557-1030 | |
| (305) 557-9757 |
| Full Name | Lazaro H Cordoves Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5951 Nw 173rd Dr, Hialeah, Florida |
| Authorized Official Name and Position | Lazaro H Cordoves (OWNER) |
| Authorized Official Contact | 3055571030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazaro H Cordoves Md Pa 5951 Nw 173rd Dr Suite 7 Hialeah FL 33015-5112 Ph: (305) 557-1030 | Lazaro H Cordoves Md Pa 5951 Nw 173rd Dr Suite 7 Hialeah FL 33015-5112 Ph: (305) 557-1030 |
| NPI Number | 1013225952 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 09/14/2010 |
| Medicare PECOS PAC ID | 0446446405 |
|---|---|
| Medicare Enrollment ID | O20101202000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013225952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME84853 (Florida) | Primary |
| Provider Name | Lazaro H Cordoves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821126079 PECOS PAC ID: 9133139009 Enrollment ID: I20060424000159 |
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