Organization Active NPI

Luis H Serentill MD PA

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1144302571
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0018498 Issued in FL
Legal business name
LUIS H SERENTILL MD PA
Practice address
2975 Coral Way
Miami, FL 33145
Phone
(305) 446-3534
Fax
(786) 703-5693
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Luis H Serentill, MD
Title
Physician/President
Phone
(305) 446-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME0018498 FL Primary

Addresses

Primary practice location

2975 Coral Way
Miami, FL 33145

Mailing address

2975 Coral Way
Miami, FL 33145
Phone (305) 446-3534

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1144302571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-446-3534",
            "fax_number": "786-703-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33145",
            "telephone_number": "305-446-3534",
            "fax_number": "786-703-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS H SERENTILL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "SERENTILL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "305-446-3534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0018498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.