Provider Demographics
NPI:1598944241
Name:HECTOR A LALAMA MD PA
Entity Type:Organization
Organization Name:HECTOR A LALAMA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:AMADOR
Authorized Official - Last Name:LALAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:305-642-4433
Mailing Address - Street 1:801 SANTIAGO ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2518
Mailing Address - Country:US
Mailing Address - Phone:305-448-9797
Mailing Address - Fax:305-448-9791
Practice Address - Street 1:801 SANTIAGO ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2518
Practice Address - Country:US
Practice Address - Phone:305-448-9797
Practice Address - Fax:305-448-9791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2877032363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL058085600Medicaid