MEDICARE: WILLIAM LAZARO NAVARRO M.D.

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	207R00000X	Internal Medicine Physician	LP03199	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801151899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM LAZARO NAVARRO M.D.

Provider Business Mailing Address
First Line	:	45 THOMAS OLNEY CMN
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-2874
Country	:	US
Telephone Number	:	786-355-6366
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 N PALM AVE STE 101
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3240
Country	:	US
Telephone Number	:	954-436-6660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2012
Last Update Date	:	02/12/2026

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