Organization Active NPI

Lazaro Medical Inc.

  • Multi-Specialty Clinic/Center
  • Doral, FL
National Provider Identifier
1659761492
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME14277 Issued in FL
Legal business name
LAZARO MEDICAL INC.
Practice address
3900 NW 79TH Ave Ste 450
Doral, FL 33166-6573
Phone
(786) 229-3674
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Lazaro Gonzalez
Title
President
Phone
(786) 229-3674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME14277 FL Primary

Addresses

Primary practice location

3900 NW 79TH Ave Ste 450
Doral, FL 33166-6573

Mailing address

3900 NW 79TH Ave Ste 450
Doral, FL 33166-6573
Phone (786) 229-3674

National Provider Directory

National Provider Directory

Locations

3900 NW 79th Ave
Ste 450
Doral, FL 33166
Phone (305) 594-9938

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1659761492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 450",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666573",
            "telephone_number": "786-229-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE STE 450",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666573",
            "telephone_number": "786-229-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARO MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-229-3674"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME14277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.