Individual
WILFREDO C LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 NW 42ND AVE, SUITE 302, MIAMI, FL 33126-5683
(305) 643-8871
(305) 643-8872
Mailing address
PO BOX 144336, CORAL GABLES, FL 33114-4336
(305) 643-8871
(305) 643-8872
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME86697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2416244
UNITED HEALTHCARE
FL
05
—
269577402
—
FL
05
—
269577405
—
FL
05
—
269577406
—
FL
05
—
269577407
—
FL
05
—
269577408
—
FL
01
—
37551
BLUE CROSS BLUE SHIELD
FL
01
—
5730290
CIGNA
FL
01
—
7192597
AETNA
FL
01
—
7403
MEDICA HEALTHCARE
FL
Enumeration date
06/30/2006
Last updated
04/27/2021
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