Provider Demographics
NPI:1235188616
Name:LALAMA, MIGUEL ANGEL (MD,NMD,DC)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:ANGEL
Last Name:LALAMA
Suffix:
Gender:M
Credentials:MD,NMD,DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3990 W FLAGLER ST
Mailing Address - Street 2:302
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1644
Mailing Address - Country:US
Mailing Address - Phone:305-774-1500
Mailing Address - Fax:305-774-1400
Practice Address - Street 1:3990 W FLAGLER ST
Practice Address - Street 2:302
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1644
Practice Address - Country:US
Practice Address - Phone:305-774-1500
Practice Address - Fax:305-774-1400
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003053111NX0800X
ID208132700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedic
Not Answered132700000XDietary & Nutritional Service ProvidersDietary Manager
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID208OtherLICENSE
FLU52159Medicare UPIN
FL88097Medicare ID - Type Unspecified