Healthcare Provider Details

I. General information

NPI: 1487667994
Provider Name (Legal Business Name): SARA N LLERENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5673 SW 137TH AVE
MIAMI FL
33183-1101
US

IV. Provider business mailing address

1451 SW 1ST ST SUITE 1
MIAMI FL
33135-2202
US

V. Phone/Fax

Practice location:
  • Phone: 305-385-3949
  • Fax: 305-385-3945
Mailing address:
  • Phone: 305-541-5090
  • Fax: 305-541-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0056413
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: