Organization
SAN LAZARO MEDICAL INC
Active
Organization
SAN LAZARO MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO CACERES (OWNER)
(305) 926-6602
Entity
Organization
Contact information
Practice address
7250 W 24TH AVE, STE 24, HIALEAH, FL 33016-6575
(305) 926-6602
(305) 514-9354
Mailing address
7250 W 24TH AVE, STE 24, HIALEAH, FL 33016-6575
(305) 926-6602
(305) 514-9354
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
FL
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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