Healthcare Provider Details

I. General information

NPI: 1235329558
Provider Name (Legal Business Name): LUIS ENRIQUE DE ARMAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11373 W FLAGLER ST SUITE 213
MIAMI FL
33174-4203
US

IV. Provider business mailing address

11373 W FLAGLER ST SUITE 213
MIAMI FL
33174-4203
US

V. Phone/Fax

Practice location:
  • Phone: 305-220-7730
  • Fax: 305-220-7703
Mailing address:
  • Phone: 305-220-7730
  • Fax: 305-220-7703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME100080
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME100080
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: