Organization Active NPI

The Lajas Medical Group Inc.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1740935444
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE LAJAS MEDICAL GROUP INC.
Practice address
6601 Memorial Hwy Ste 112
Tampa, FL 33615-4501
Phone
(727) 353-3446
Fax
(727) 353-3447
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Roger Manuel Pupo, APRN
Title
President
Phone
(727) 353-3446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6601 Memorial Hwy Ste 112
Tampa, FL 33615-4501

Mailing address

6005 N Thatcher Ave
Tampa, FL 33614-5536
Phone (727) 353-3446

National Provider Directory

National Provider Directory

Locations

6601 Memorial Hwy
Ste 112
Tampa, FL 33615
Phone (727) 353-3446

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1740935444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 N THATCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145536",
            "telephone_number": "727-353-3446",
            "fax_number": "727-353-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY STE 112",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "727-353-3446",
            "fax_number": "727-353-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAJAS MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "PUPO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-353-3446",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.