San Lazaro Medical Group, Inc
NPI 1790231728 · Family Medicine Physician · Miami, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Lazaro Medical Group, Inc is a Family Medicine Physician organization in Miami, FL (NPI 1790231728).
Provider details
- NPI number
- 1790231728
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nidia Dominguez, Vice President(786) 294-0442
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1800 Sw 1st StSuite 102Miami, FL 33135-1960Phone: (305) 342-3258
- 5803 Nw 151st St Ste 107Miami Lakes, FL 33014-2473Phone: (786) 294-0442Fax: (786) 294-0124
Registry dates
- Enumerated
- 2016-08-30
- Last updated
- 2021-01-29
- Certified
- 2021-01-29
Frequently asked questions
- What is San Lazaro Medical Group, Inc's NPI number?
- San Lazaro Medical Group, Inc's National Provider Identifier (NPI) is 1790231728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Lazaro Medical Group, Inc?
- San Lazaro Medical Group, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is San Lazaro Medical Group, Inc located?
- San Lazaro Medical Group, Inc's practice location on file with NPPES is 3271 Nw 7th St Ste 211, Miami, FL 33125-4141.
- What is San Lazaro Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for San Lazaro Medical Group, Inc is (786) 294-0442.
- Does San Lazaro Medical Group, Inc accept Medicare?
- San Lazaro Medical Group, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for San Lazaro Medical Group, Inc?
- The authorized official listed on San Lazaro Medical Group, Inc's NPPES record is Nidia Dominguez, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Lazaro Medical Group, Inc's NPI active?
- Yes — San Lazaro Medical Group, Inc's NPI (1790231728) is active in the NPPES registry as of the last update on 2021-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.