Vicente Lago M.D. P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0024854 Issued in FL

Legal business name

VICENTE LAGO M.D. P.A.

Practice address

351 NW 42ND Ave
Ste 305
Miami, FL 33126-5683

Phone

(305) 541-1041

Fax

(305) 541-7762

NPI assigned

Dec 10, 2010

Organization subpart

No

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

Authorized official

Name

Vicente Lago, M.D.NPI 1619068095

Title

President

Phone

(305) 541-1041

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vicente Lago, MD PA

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1619068095
  Authorized official Same address or phone

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1336442441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE",
            "address_2": "STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-541-1041",
            "fax_number": "305-541-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE",
            "address_2": "STE 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-541-1041",
            "fax_number": "305-541-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE LAGO M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-541-1041",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0024854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037706600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Vicens-Fernandez, LMHC
• Jannelle Vicens, DNP, APRN, FNP-BC
• Vicente a. Chavarria M.D. P.a.
• Vicente F. Franco M.D.,P.a.
• Vicente G Lopez MD PA
• Lucia Margarita Vicente Mantaras
• Dianelys Vicente Pontigo
• Yamina Vicente Prado
• Vicente Rodriguez M D P a
• Margarita Elena Vicente, PHARM.D.

• Gastroenterology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.