| Fraga Medical Center, Inc. | |
|
11865 Coral Way Suite B-7 Miami FL 33175-2400 | |
| (305) 220-6128 | |
| (305) 227-2855 |
| Full Name | Fraga Medical Center, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 11865 Coral Way, Miami, Florida |
| Authorized Official Name and Position | Rene Casanova (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9548167795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fraga Medical Center, Inc. 4141 Sw 6th St Coral Gables FL 33134-2057 Ph: (305) 443-5031 | Fraga Medical Center, Inc. 11865 Coral Way Suite B-7 Miami FL 33175-2400 Ph: (305) 220-6128 |
| NPI Number | 1871698027 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871698027 | NPI | - | NPPES |
| 279234600 | Medicaid | FL | |
| 054135400 | Medicaid | FL |
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