Healthcare Provider Details

I. General information

NPI: 1558203257
Provider Name (Legal Business Name): ALEJANDRO LAZARO REMON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 W 20TH AVE STE 311
HIALEAH FL
33016-5532
US

IV. Provider business mailing address

7215 MIAMI LAKES DR APT A9
MIAMI LAKES FL
33014
US

V. Phone/Fax

Practice location:
  • Phone: 305-823-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: