Active NPI
Fraga Medical Center, Inc.
- General Practice Physician
- Coral Gables, FL
National Provider Identifier
1871698027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FRAGA MEDICAL CENTER, INC.
- Practice address
- 951 S Le Jeune Rd Ste 302
Coral Gables, FL 33134-2616 - Phone
- (305) 443-5031
- Fax
- (305) 442-0844
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rene Casanova, MD
- Title
- Medical Director
- Phone
- (954) 816-7795
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ACN961 | FL | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
951 S Le Jeune Rd Ste 302
Coral Gables, FL 33134-2616
Mailing address
5590 W 20TH Ave Ste 300
Hialeah, FL 33016-7061
Phone (305) 443-5031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279234600 | Medicaid | FL | |
| 054135400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2370 E International Speedway Blvd
Deland, FL 32724
Phone (386) 735-1105
5590 W 20th Ave
Ste 300
Hialeah, FL 33016
Phone (305) 821-3388
2140 W 68th St
Ste 204B
Hialeah, FL 33016
11865 SW 26th St
Ste B7
Miami, FL 33175
Phone (305) 220-6128
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Miami, FL
- NPI 1336530443
-
- General Practice Physician
- Miami, FL
- NPI 1487608840
-
- Pediatrics Physician
- Coral Gables, FL
- NPI 1386749596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769126400000",
"number": "1871698027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5590 W 20TH AVE STE 300",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330167061",
"telephone_number": "305-443-5031",
"fax_number": "305-442-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 S LE JEUNE RD STE 302",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342616",
"telephone_number": "305-443-5031",
"fax_number": "305-442-0844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRAGA MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A",
"authorized_official_last_name": "CASANOVA",
"authorized_official_first_name": "RENE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "954-816-7795",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ACN961",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279234600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054135400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.