Healthcare Provider Details

I. General information

NPI: 1326174749
Provider Name (Legal Business Name): LUIS ENRIQUE FERRER MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12511 S DIXIE HWY
PINECREST FL
33156-5930
US

IV. Provider business mailing address

5901 SW 89TH CT
MIAMI FL
33173-1635
US

V. Phone/Fax

Practice location:
  • Phone: 305-503-9041
  • Fax: 786-431-2589
Mailing address:
  • Phone: 305-479-7542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19063
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: