Miriam Mercedes Lara in Hialeah - General Practice

Miriam Mercedes Lara - NPI 1124124854

Miriam Mercedes Lara is a General Practice in Hialeah, Florida. Miriam Mercedes Lara practices all healthcare services and medical treatments related to General Practice. The NPI Number for Miriam Mercedes Lara is 1124124854. The last update date is 2008-05-23.

Miriam Mercedes Lara's current location address is 2100 W 68th St, Hialeah, Florida. You can contact this provider via phone number 3053623969 and fax number 3053627909. The mailing address for Miriam Mercedes Lara is 2100 W 68th St, Hialeah, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Miriam Mercedes Lara
Address 2100 W 68th St, Hialeah, Florida
Phone Number 3053623969
Fax Number 3053627909
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1124124854
Provider Enumeration Date 2006-09-16
Last Updated Date 2008-05-23

Provider Mailing Address Detail

Address 2100 W 68th St
City Hialeah
State Florida (FL)
Post Code 330161804
Phone Number 3053623969
Fax Number 3053627909

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No ME47182
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6189715 FL CIGNA
35062100 FL --

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FAQs about Miriam Mercedes Lara

What is the unique 10-digit identifier code assigned to Miriam Mercedes Lara by the Centers for Medicare & Medicaid Services?

The Miriam Mercedes Lara has been issued the NPI (National Provider Identifier) 1124124854 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Miriam Mercedes Lara's facilities are situated?

The facilities of Miriam Mercedes Lara are physically located at the following address: 2100 W 68Th St, Hialeah, FL, 330161804.

What is Miriam Mercedes Lara's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Miriam Mercedes Lara is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.

On what date did the Miriam Mercedes Lara receive the assignment of its 1124124854 from the Centers for Medicare & Medicaid Services?

The Miriam Mercedes Lara was issued its 1124124854 by the Centers for Medicare & Medicaid Services on 2006-09-16.

When was the information related to Miriam Mercedes Lara most recently updated or refreshed?

The details pertaining to the Miriam Mercedes Lara, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-23.

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