Organization · NPI-2

Fraga Pediatrics & Associates, P.A.

General Practice · Hialeah, FL

NPI number1891890059
StatusActive
Last updated in NPPESJan 23, 2026

Details

NPI
1891890059
Entity type
Organization (NPI-2)
Legal business name
Fraga Pediatrics & Associates, P.A.
Organization subpart
No
Enumeration date
Sep 13, 2006
Certification date
Jan 23, 2026
Last updated
Jan 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes
2080A0000X Pediatrics, Adolescent Medicine––

Practice location

5590 W 20th Ave Ste 100
Hialeah, FL 33016-7061

Phone 305-828-3997 · Fax 305-828-4696

Mailing address

5590 W 20th Ave Ste 300
Hialeah, FL 33016-7061

Phone 305-442-1740 · Fax 305-442-2207

Authorized official

Rene Casanova
President
3054421740

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