SAN LAZARO MEDICAL GROUP, INC (NPI# 1790231728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790231728 |
| Entity Type | Organization |
| Organization Name | SAN LAZARO MEDICAL GROUP, INC |
| Practice Address |
1800 Sw 1st St Suite 102 Miami FL 33135-1960 |
| Practice Telephone | 3053423258 |
| Mailing Telephone | 3053423258 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | LAZARO DIAZ-NUNEZ (OWNER) |
| Authorized Official Telephone | 3053423258 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5803 Nw 151st St Ste 107, Miami Lakes, FL 330142473 | 7862940442 | 7862940124 |
| Street Address |
1800 SW 1ST ST SUITE 102 |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629026224 | C & R Medical Center, Inc. | Clinic/Center | 1800 Sw 1st St, Miami, FL 33135-1960 | 2006-05-05 |
| 1164039798 | Care Resource Community Health Centers, Inc. | Pharmacy | 1800 Sw 1st St, Miami, FL 33135-1960 | 2020-09-28 |
| 1396099925 | South Pacific Pharmacy | Pharmacy | 1800 Sw 1st St, Suite 101, Miami, FL 33135-1960 | 2012-11-05 |
| 1265665145 | Lazaro Roberto Diaz-nunez | Family Medicine | 1800 Sw 1st St, Miami, FL 33135-1960 | 2009-08-26 |
| 1225282452 | Ecd Medical Center Inc | General Practice | 1800 Sw 1st St, Suite 205, Miami, FL 33135-1960 | 2008-11-14 |
| 1285898007 | South East Medical Center of Miami Inc | General Practice | 1800 Sw 1st St, Suite 320, Miami, FL 33135-1960 | 2008-07-10 |
| 1922280361 | Hoyos Home Health Care Inc | Home Health | 1800 Sw 1st St, Suite 321, Miami, FL 33135-1964 | 2007-11-28 |
| 1528255858 | Ema Medical Center | Clinic/Center | 1800 Sw 1st St, Suite 210, Miami, FL 33135-1960 | 2007-10-01 |
| 1770626723 | Homestead Medical Center Corp | General Practice | 1800 Sw 1st St, Suite 208, Miami, FL 33135-1960 | 2007-02-15 |
| 1972646164 | Rigoberto Reguero Corp | General Practice | 1800 Sw 1st St, Suite 201, Miami, FL 33135-1960 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1386242402 | Michelle Andrea Von Der Heyde | Family Medicine | 2806 Sw 145th Ct, Miami, FL 33175-7479 | 2020-10-12 |
| 1558968008 | Vera Medical Practice LLC | Family Medicine | 6741 Coral Way Ste 44, Miami, FL 33155-1767 | 2020-10-07 |
| 1396342069 | Navarro Medical Centers LLC | Family Medicine | 10240 Sw 56th St Ste 101, Miami, FL 33165-7066 | 2020-10-06 |
| 1477160513 | Marta Yamilex Herrera Lorenzo | Family Medicine | 500 Sw 120th Ave, Miami, FL 33184-1643 | 2020-09-23 |
| 1336753482 | Vielka D Centeno | Family Medicine | 13244 Sw 111th Ter Apt 2, Miami, FL 33186-4364 | 2020-09-06 |
| 1164031670 | Yanet Ybanez Alvarez | Family Medicine | 6201 Coral Lake Dr, Miami, FL 33155-5938 | 2020-07-30 |
| 1093323107 | Jalima Jimenez Morejon | Family Medicine | 23103 Sw 107th Pl, Miami, FL 33170-7545 | 2020-07-15 |
| 1548878655 | Lisandra Franco Porto | Family Medicine | 2001 Ludlam Rd Apt 335, Miami, FL 33155-1898 | 2020-07-15 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.