| Organization Name: | MIRIAM CASANOVA, M.D., P.A. |
| NPI Number: | 1336426642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIRIAM CASANOVA (PRESIDENT) |
| Mailing Address: | 52 E 5th St Hialeah |
| State: | FL US |
| Postal Code: | 330104842 |
| Phone Number: | 3058820502 |
| Fax Number: | 3058820515 |
| NPI Enumeration Date: | 11/15/2011 |
| NPI Last Update Date: | 04/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0036971 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |