A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1871698027 |
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| LBN Legal business name | FRAGA MEDICAL CENTER, INC. | ||||||||||||
| Authorized official | RENE CASANOVA - (MEDICAL DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 09/13/2006 | ||||||||||||
| Last updated | 01/23/2026 - About 4 months ago | ||||||||||||
| Identifiers |
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