FRAGA PEDIATRICS & ASSOCIATES, P.A.; NPI #1891890059

Contact Information

FRAGA PEDIATRICS & ASSOCIATES, P.A.

5590 W 20TH AVE STE 100
HIALEAH, FL 33016-7061

Phone: 305-828-3997
Fax: 305-828-4696
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for FRAGA PEDIATRICS & ASSOCIATES, P.A.

NPI # 1891890059

LBN Legal business name FRAGA PEDIATRICS & ASSOCIATES, P.A.

Authorized official RENE CASANOVA - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/13/2006

Last updated 01/23/2026 - About 4 months ago

Identifiers

FL	Medicaid	000711900
FL	Medicaid	279232000

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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