Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucas Rabeno Fasolo, MD

Individual provider Internal Medicine Physician · NPI 1154704906

Lucas Rabeno Fasolo, MD is an Internal Medicine Physician in Miami, Florida. Practices as a sole proprietor and works from 3 locations. Licensed in Florida and Massachusetts.

Licensed in
FL, MA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20801 NW 2nd Ave
Miami, FL 33169-2103
Phone: (305) 653-1770
Fax: (786) 725-3453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 495 Western Ave, Brighton, MA 02135-1007 — (617) 783-0500
  • 115 Lincoln St, Framingham, MA 01702-6358 — (508) 383-1000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME152888 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 264115 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 277164 (MA)

Record details

NPI number1154704906
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2015
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021

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