Organization
ROLANDO E LACAYO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLANDO E LACAYO MD (OWNER)
(305) 553-1253
Entity
Organization
Contact information
Practice address
11760 SW 40TH ST, SUITE 311, MIAMI, FL 33175-3582
(305) 553-1253
(305) 553-9681
Mailing address
11760 SW 40TH ST, SUITE 311, MIAMI, FL 33175-3582
(305) 553-1253
(305) 553-9681
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME38875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372497200
—
FL
Enumeration date
12/09/2010
Last updated
12/09/2010
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