| Mariano S Lacayo Md Pa | |
|
7821 Coral Way Ste 101 Miami FL 33155-6542 | |
| (786) 281-5358 | |
| (305) 255-1669 |
| Full Name | Mariano S Lacayo Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7821 Coral Way, Miami, Florida |
| Authorized Official Name and Position | Mariano S Lacayo (PRESIDENT) |
| Authorized Official Contact | 7862815358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariano S Lacayo Md Pa Po Box 830653 Miami FL 33283-0653 Ph: (786) 281-5358 | Mariano S Lacayo Md Pa 7821 Coral Way Ste 101 Miami FL 33155-6542 Ph: (786) 281-5358 |
| NPI Number | 1134384464 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134384464 | NPI | - | NPPES |
| 271309800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME89783 (Florida) | Primary |
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