MEDICARE: SALUD MEDICAL RESEARCH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1871476515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALUD MEDICAL RESEARCH LLC

Provider Business Mailing Address
First Line	:	5524 W FLAGLER ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1078
Country	:	US
Telephone Number	:	305-902-0712
Fax Number	:	786-796-1850

Provider Business Practice Location Address
First Line	:	5524 W FLAGLER ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1078
Country	:	US
Telephone Number	:	786-782-2113
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEANDRO PENA
Credential	:	OWNER
Telephone Number	:	786-782-2113

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	03/04/2026

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