Organization
CLARA LAGUERUELA MD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA LAGUERUELA M.D. (PRESIDENT)
(305) 223-2255
Entity
Organization
Contact information
Practice address
9980 SW 40TH ST, MIAMI, FL 33165-3944
(305) 223-2255
(305) 223-2622
Mailing address
9980 SW 40TH ST, MIAMI, FL 33165-3944
(305) 223-2255
(305) 223-2622
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0059638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RVOWW
BCBS GROUP NUMBER
FL
Enumeration date
03/08/2016
Last updated
03/08/2016
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