| Lazaro Vigoa Md Pa | |
|
11760 Sw 40th St Ste 342 Miami FL 33175-3582 | |
| (305) 225-5727 | |
| (305) 225-5789 |
| Full Name | Lazaro Vigoa Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11760 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Lazaro Vigoa (PRESIDENT) |
| Authorized Official Contact | 3052255727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazaro Vigoa Md Pa 11760 Sw 40th St Ste 342 Miami FL 33175-3582 Ph: (305) 225-5727 | Lazaro Vigoa Md Pa 11760 Sw 40th St Ste 342 Miami FL 33175-3582 Ph: (305) 225-5727 |
| NPI Number | 1285661124 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 07/29/2010 |
| Medicare PECOS PAC ID | 1254465313 |
|---|---|
| Medicare Enrollment ID | O20100812000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285661124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 0083801 (Florida) | Primary |
| Provider Name | Lazaro Vigoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922038710 PECOS PAC ID: 2769515220 Enrollment ID: I20100804000458 |
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