Luis Miguel Penton

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME91306 Issued in FL

Practice address

3939 NW 7TH St Ste 206
Miami, FL 33126-5552

Phone

(305) 300-9629

NPI assigned

Mar 27, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1245402445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 NW 7 STREET",
            "address_2": "STE #206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-300-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NW 7TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265552",
            "telephone_number": "305-300-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTON",
        "first_name": "LUIS",
        "middle_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME91306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pentacare Health Network Corp
• Pentacle Rehabilitation Center Inc
• Penton Medical Supplies Inc
• Silvana Penton Quevedo
• Amanda Penton, RBT
• Manuel M Penton, ATC
• Brismaida Wendy Penuela
• Susruthi Rajanala Penumaka, MD
• Angela Caridad Peon de la Cruz
• Gretel Peon Vinent, ARNP

• Legal Medicine in Miami, FL
• Providers in Miami, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.