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

Active since August 30, 2016CLIA 10D2119825 · Waiver
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: August 02, 2026.

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

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 holds a CLIA Waiver certificate valid through October 3, 2026, 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
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

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

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
Active · expires 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.

Does San Lazaro Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2119825) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does San Lazaro Medical Group, Inc accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Florida Blue (BlueCross BlueShield FL), Medica, Sanford Health Plan 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.