Organization
FRAGA MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE CASANOVA MD (MEDICAL DIRECTOR)
(954) 816-7795
Entity
Organization
Contact information
Practice address
951 S LE JEUNE RD STE 302, CORAL GABLES, FL 33134-2616
(305) 443-5031
(305) 442-0844
Mailing address
5590 W 20TH AVE STE 300, HIALEAH, FL 33016-7061
(305) 443-5031
(305) 442-2207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ACN961
FL
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054135400
—
FL
05
—
279234600
—
FL
Enumeration date
09/13/2006
Last updated
01/23/2026
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