Organization
FRAGA PEDIATRICS & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE CASANOVA (PRESIDENT)
(305) 442-1740
Entity
Organization
Contact information
Practice address
5590 W 20TH AVE STE 100, HIALEAH, FL 33016-7061
(305) 828-3997
(305) 828-4696
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
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000711900
—
FL
05
—
279232000
—
FL
Enumeration date
09/13/2006
Last updated
01/23/2026
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