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General NPI Number Information
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NPI Number | 1922050590
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Entity Type | Individual
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Provider Name | LUIS H SERENTILL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 14750 SW 26 ST STE 216
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City | MIAMI
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State | FL
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Zip | 33185-5937
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Country | US
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Telephone | 786-558-5600
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Fax | 786-592-5600
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Provider Business Mailing Address
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Address Line | 1144 NW 32 PLACE
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City | MIAMI
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State | FL
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Zip | 33125-2826
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Country | US
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Telephone | 786-423-5153
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Fax | 786-309-9991
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME0018498
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License Number State | FL
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