| NPI | 1063605913 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-08-23 |
| Last Updated | 2008-05-08 |
| Authorized Official | Wilfredo Lara Owner Phone: 3056438871 |
| Mailing Address | Po Box 144336 Coral Gables, FL 33114-4336 United States Phone: (305) 643-8871 | Fax: (305) 643-8872 📍 View Map |
| Primary Practice Address | 351 Nw 42nd Ave, Suite 302 Miami, FL 33126-5683 United States Phone: (305) 643-8871 | Fax: (305) 643-8872 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | FL | 446289 | Medica Healthcare |
| Other (non-Medicare) | FL | 8796542 | Cigna |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207W00000X – Ophthalmology | FL | — |
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About NPI 1063605913
Wilfredo Constantino Lara Md Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063605913. The primary specialty listed is Ophthalmology. The organization is located in Miami, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-08-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063605913?
NPI 1063605913 belongs to Wilfredo Constantino Lara Md Pllc, a Ophthalmology in Miami, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063605913 active?
The current status of NPI 1063605913 in the NPPES registry is Active. The record was last updated on 2008-05-08.
What specialty is NPI 1063605913?
NPI 1063605913 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063605913?
You can verify NPI 1063605913 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063605913?
The primary practice address on file for NPI 1063605913 is 351 Nw 42nd Ave, Miami, FL 33126-5683. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063605913 issued?
NPI 1063605913 was first issued (enumerated) on 2007-08-23. The NPPES record was last updated on 2008-05-08.
Practice Location Map
Wilfredo Constantino Lara Md Pllc is located at 351 Nw 42nd Ave, Miami, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Wilfredo Constantino Lara Md Pllc. All records sourced from the CMS NPPES registry.