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WILFREDO CONSTANTINO LARA MD PLLC NPI 1063605913


NPI Information

NPI: 1063605913
Provider Name: WILFREDO CONSTANTINO LARA MD PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
351 NW 42ND AVE
SUITE 302
MIAMI, FL
ZIP 33126
Phone: (305) 643-8871
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WILFREDO CONSTANTINO LARA MD PLLC is an ophthalmology in Miami, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. WILFREDO CONSTANTINO LARA MD PLLC NPI is 1063605913. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

351 NW 42ND AVE
SUITE 302
MIAMI, FL
ZIP 33126-683
Phone: (305) 643-8871
Fax: (305) 643-8872

The provider's authorized official is Wilfredo Constantino Lara .
The authorized official title is Owner and has the following contact phone number (305) 643-8871.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 5/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18796542OTHERFLORIDACIGNA
2446289OTHERFLORIDAMEDICA HEALTHCARE
3AF467MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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