Individual provider · Type 1 NPI

Jose Miguel Lares-Guia, MD

General Practice Physician · New York, NY

NPI number 1902030869 Active

Practice location

111 Wadsworth Ave
New York, NY 10033-6102

Fax (646) 666-0339

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X249492 (NY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1902030869

Jose Miguel Lares-Guia, MD's National Provider Identifier is 1902030869, issued on May 7, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New York, NY. The record was last updated on Jun 23, 2026.