SAN LAZARO MEDICAL GROUP, INC
NPI 1790231728
Family Medicine in Miami, FL

Q: What is San Lazaro Medical Group, Inc's NPI number?

The NPI number for San Lazaro Medical Group, Inc is 1790231728. It was assigned to this organization in the NPPES registry on August 30, 2016.

Q: What is San Lazaro Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 30, 2016

3271 NW 7TH ST STE 211, MIAMI, FL 33125(786) 294-0442(786) 294-0124 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2021, Mar 17, 2018, Nov 16, 2017 and 2 more (5 updates tracked since 2016).

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About San Lazaro Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN LAZARO MEDICAL GROUP, INC (NPI 1790231728) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since August 2016. The organization maintains 2 additional practice locations and lists Nidia D Dominguez, Vice President, as its authorized official.

NPPES Registry Identity

NPI1790231728

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSAN LAZARO MEDICAL GROUP, INC

Location Address3271 NW 7TH ST STE 211Miami, FL 33125-4141

Mailing Address3271 Nw 7th St Ste 211Miami, FL 33125-4141 · (786) 294-0442 · Fax (786) 294-0124

Phone(786) 294-0442

Fax(786) 294-0124

Organization SubpartNo

Authorized OfficialNidia D DominguezVice President · (786) 294-0442

Enumeration DateAugust 30, 2016

Last NPPES UpdateJanuary 29, 20215 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2021

✔ NPI 1790231728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3271 NW 7TH ST STE 211, Miami, FL 33125

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Secondary Practice Locations 2

Location 15803 NW 151st St Ste 107Miami Lakes, FL 33014-2473 · Phone (786) 294-0442 · Fax (786) 294-0124

Location 21800 SW 1st St, Suite 102Miami, FL 33135-1960 · Phone (305) 342-3258

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Lazaro Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Lazaro Medical Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nidia Dominguez, ARNP

Nurse Practitioner

NPI 1396190302

1800 SW 1ST ST STE 102
Miami, FL 33135

(786) 294-0442

✔ PECOS✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2119825

San Lazaro Medical Group Inc · Miami, FL

Expired · Oct 3, 2026

CLIA Number10D2119825

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorErich Schoen-Kiewert

Laboratory Phone(786) 294-0442

Laboratory LocationSan Lazaro Medical Group Inc3271 NW 7th Street, Suite 211, Miami, FL 33125

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Lazaro Medical Group, Inc's NPI number?

The NPI number for San Lazaro Medical Group, Inc is 1790231728. It was assigned to this organization in the NPPES registry on August 30, 2016.

Where is San Lazaro Medical Group, Inc located?

San Lazaro Medical Group, Inc is located at 3271 NW 7th St Ste 211, Miami, FL 33125. The listed phone number is (786) 294-0442.

What is San Lazaro Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is San Lazaro Medical Group, Inc enrolled in Medicare?

Yes. San Lazaro Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Lazaro Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to San Lazaro Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does San Lazaro Medical Group, Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama and Wellpoint list San Lazaro Medical Group, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Lazaro Medical Group, Inc was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.