MEDICARE: CARLOS LIRA MD

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	ME75446	FL

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	:	1376598045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS LIRA MD

Provider Business Mailing Address
First Line	:	7593 W BOYNTON BEACH BLVD STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6162
Country	:	US
Telephone Number	:	561-649-7000
Fax Number	:	561-963-0509

Provider Business Practice Location Address
First Line	:	7593 W BOYNTON BEACH BLVD STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6162
Country	:	US
Telephone Number	:	561-469-7000
Fax Number	:	561-963-0509

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	05/14/2025

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Directions to “ CARLOS LIRA MD” Practice Location

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