Individual provider Active NPI

Lazaro Vigoa, M.D

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1922038710
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 0083801 Issued in FL
Practice address
11760 SW 40TH St
Ste 342
Miami, FL 33175-3582
Phone
(305) 225-5727
Fax
(305) 225-5789
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 0083801 FL Primary

Addresses

Primary practice location

11760 SW 40TH St
Ste 342
Miami, FL 33175-3582

Mailing address

11760 SW 40TH St
Ste 342
Miami, FL 33175-3582
Phone (305) 225-5727

Other identifiers 1

IdentifierTypeStateIssuer
263103200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000458 FL Practitioner - Internal Medicine 2769515220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11760 Bird Rd
Suite 622B
Miami, FL 33175-3582
Phone (305) 225-5727

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0083801FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC CurrentSince Aug 12, 2024 Accepting new patients
First Docs PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Lazaro Vigoa MD PA Internal Medicine CurrentSince Jul 14, 2003 Accepting new patients
Complete Medical Rehab & Family Past Accepting new patients

Locations

6901 Yumuri St
Coral Gables, FL 33146
Phone (305) 661-0078

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

2525 SW 75th Ave
Miami, FL 33155
Phone (305) 260-1852

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

11760 SW 40th St
Ste 342
Miami, FL 33175
Phone (305) 225-5727

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11760 Bird Rd
Ste 622B
Miami, FL 33175
Phone (305) 225-5727

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

13900 NE 3rd Ct
North Miami, FL 33161
Phone (305) 893-2288

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1922038710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "STE 342",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-225-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "STE 342",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-225-5727",
            "fax_number": "305-225-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGOA",
        "first_name": "LAZARO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0083801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263103200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.