| Lazaro Fraga Md Pa | |
|
951 S Le Jeune Rd Ste 302 Coral Gables FL 33134-2616 | |
| (305) 443-5031 | |
| Not Available |
| Full Name | Lazaro Fraga Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 951 S Le Jeune Rd Ste 302, Coral Gables, Florida |
| Authorized Official Name and Position | Rene Casanova (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3053633675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazaro Fraga Md Pa 5590 W 20th Ave Ste 300 Hialeah FL 33016-7061 Ph: (305) 442-1740 | Lazaro Fraga Md Pa 951 S Le Jeune Rd Ste 302 Coral Gables FL 33134-2616 Ph: (305) 443-5031 |
| NPI Number | 1245413905 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 01/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245413905 | NPI | - | NPPES |
| 273617000 | Medicaid | FL | |
| 279233800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ACN961 (Florida) | Secondary |
| 208000000X | Pediatrics | 279233800 (Florida) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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