Organization Active NPI

Fraga Medical Center, Inc.

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1871698027
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Jan 23, 2026

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ACN961 FL
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
279234600MedicaidFL
054135400MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.