Fraga Medical Center, Inc.

LBN: Fraga Medical Center, Inc.
Fraga Medical Center, Inc. is an health care organization with primary practice located at 11865 Coral Way Suite B-7, Miami FL 33175-2400. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Fraga Medical Center, Inc. can be contacted via phone (305) 220-6128, or through Casanova, Rene via phone (954) 816-7795.

Contact Information

Primary practice address
11865 Coral Way Suite B-7 Miami FL 33175-2400
Phone: (305) 220-6128
Fax: (305) 227-2855
Website:
Map and Directions
Authorized official contact:
Name: Casanova, Rene Doctor of Medicine (MD)
Phone: (954) 816-7795

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ACN961 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1871698027
LBN Legal business name Fraga Medical Center, Inc.
DBA Doing business as
Authorized official Casanova, Rene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Mar 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871698027 NPPES
Florida MEDICAID 279234600
Florida MEDICAID 054135400

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