Organization Active NPI

Fraga Pediatrics & Associates, P.a.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1891890059
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 PEDIATRICS & ASSOCIATES, P.A.
Practice address
5590 W 20TH Ave Ste 100
Hialeah, FL 33016-7061
Phone
(305) 828-3997
Fax
(305) 828-4696
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
Rene Casanova
Title
President
Phone
(305) 442-1740

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5590 W 20TH Ave Ste 100
Hialeah, FL 33016-7061

Mailing address

5590 W 20TH Ave Ste 300
Hialeah, FL 33016-7061
Phone (305) 442-1740

Other identifiers 2

IdentifierTypeStateIssuer
000711900MedicaidFL
279232000MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2045728Fraga Pediatrics & Associates PA5590 W 20TH Ave Ste 100 and 202, Hialeah, FL 33016Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fraga Pediatrics Associates PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1891890059",
    "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": "305-442-1740",
            "fax_number": "305-442-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W 20TH AVE STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330167061",
            "telephone_number": "305-828-3997",
            "fax_number": "305-828-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAGA PEDIATRICS & ASSOCIATES, P.A.",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "305-442-1740"
    },
    "taxonomies": [
        {
            "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": "000711900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279232000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.