NPI 1124440227

Miriam M. Lara M.D. PA

Organisation Preferred Provider Organization Hialeah, FL

Practice location

Address: 2100 W 68th St, Hialeah, FL 33016-1804
Phone: (305) 362-3969
Fax: (305) 362-7909

Authorised official

Name: Miriam Mercedes Lara
Title: M.D.
Phone: (305) 362-3969

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence ME0047182 (FL)

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Registry record

NPI: 1124440227
Entity type: Organization
NPI issued: 9 Jan 2014
Record last updated: 9 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.