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Contact Information

WILFREDO C LARA, MD
351 NW 42ND AVE
SUITE 302
MIAMI, FL33126-5683
 Phone: 305-643-8871
 Fax: 305-643-8872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for WILFREDO C LARA · (Male)

NPI # 1942238522
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 04/27/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME86697
  • FL Medicaid 269577402
  • FL Medicaid 269577405
  • FL Medicaid 269577406
  • FL Medicaid 269577407
  • FL Medicaid 269577408
  • FL Other 7192597 AETNA
  • FL Other 37551 BLUE CROSS BLUE SHIELD
  • FL Other 5730290 CIGNA
  • FL Other 7403 MEDICA HEALTHCARE
  • FL Other 2416244 UNITED HEALTHCARE
Hospital affiliation(s)
  • LARKIN COMMUNITY HOSPITAL - (Acute Care)
    7031 SW 62ND AVE
    SOUTH MIAMI, FL 33143
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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