Healthcare Provider Details

I. General information

NPI: 1235188616
Provider Name (Legal Business Name): MIGUEL ANGEL LALAMA M.D.,N.M.D.,D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 W FLAGLER ST 302
CORAL GABLES FL
33134-1644
US

IV. Provider business mailing address

3990 W FLAGLER ST 302
CORAL GABLES FL
33134-1644
US

V. Phone/Fax

Practice location:
  • Phone: 305-774-1500
  • Fax: 305-774-1400
Mailing address:
  • Phone: 305-774-1500
  • Fax: 305-774-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH0003053
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number208
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: