San Lazaro Medical Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SAN LAZARO MEDICAL INC

Practice address

7250 W 24TH Ave
Ste 24
Hialeah, FL 33016-6575

Phone

(305) 926-6602

Fax

(305) 514-9354

NPI assigned

Jun 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pedro Caceres

Title

Owner

Phone

(305) 926-6602

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1154701126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 W 24TH AVE",
            "address_2": "STE 24",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166575",
            "telephone_number": "305-926-6602",
            "fax_number": "305-514-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 W 24TH AVE",
            "address_2": "STE 24",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166575",
            "telephone_number": "305-926-6602",
            "fax_number": "305-514-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LAZARO MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-926-6602"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.