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Individual
AIXA E LAJARA
Active
Individual
AIXA E LAJARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18799
PR
208D00000X
General Practice Physician
Primary
ACN802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1133316
CAREPLUS
FL
01
—
1230723
WELLCARE
FL
01
—
18799
LICENSE
PR
01
—
A8I0G
FLORIDA BLUE
FL
01
—
ACN802
MEDICAL LIC
FL
01
—
P01805021
SIMPLY
FL
01
—
P1043313
FREEDOM
FL
01
—
P979938
OPTIMUM
FL
Enumeration date
12/15/2010
Last updated
03/23/2018
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