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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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