MEDICARE: JUAN F LAMAS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME54784	FL

General Provider Information

NPI Number	:	1215141247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUAN F LAMAS, INC.

Provider Business Mailing Address
First Line	:	2000 SW 27TH AVE
Second Line	:	SUITE 301
City	:	MIAMI
State	:	FL
Zip	:	33145-2546
Country	:	US
Telephone Number	:	305-461-2010
Fax Number	:	305-648-0140

Provider Business Practice Location Address
First Line	:	2000 SW 27TH AVE
Second Line	:	SUITE 301
City	:	MIAMI
State	:	FL
Zip	:	33145-2546
Country	:	US
Telephone Number	:	305-461-2010
Fax Number	:	305-648-0140

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MS. ALINA L BAEZ
Credential	:
Telephone Number	:	305-461-2010

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/22/2020

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