Healthcare Provider Details

I. General information

NPI: 1124995253
Provider Name (Legal Business Name): DR. LUIS M RIOPEDRE SANTANA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 SW 8TH ST STE 108
MIAMI FL
33144-4100
US

IV. Provider business mailing address

718 NW 133RD AVE
MIAMI FL
33182-1800
US

V. Phone/Fax

Practice location:
  • Phone: 786-482-5019
  • Fax: 786-482-5493
Mailing address:
  • Phone: 786-482-5019
  • Fax: 786-482-5493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11043097
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: