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Organization
LAZARO FRAGA MD PA
Active
Organization
LAZARO FRAGA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE CASANOVA MD (MEDICAL DIRECTOR)
(305) 363-3675
Entity
Organization
Contact information
Practice address
951 S LE JEUNE RD STE 302, CORAL GABLES, FL 33134-2616
(305) 443-5031
Mailing address
5590 W 20TH AVE STE 300, HIALEAH, FL 33016-7061
(305) 442-1740
(305) 442-2207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ACN961
FL
208000000X
Pediatrics Physician
279233800
FL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273617000
—
FL
05
—
279233800
—
FL
Enumeration date
12/17/2007
Last updated
01/23/2026
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