Luis Fernando Rengifo

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11017711 Issued in FL

Practice address

16358 SW 76TH St
Miami, FL 33193-3456

Phone

(305) 496-4126

Fax

(305) 816-6718

NPI assigned

Jun 13, 2022

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1669102851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16358 SW 76TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933456",
            "telephone_number": "305-496-4126",
            "fax_number": "305-816-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16358 SW 76TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933456",
            "telephone_number": "305-496-4126",
            "fax_number": "305-816-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGIFO",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11017711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Medical and Rehabilitation Center Inc
• Renewal Wellness Center
• Vanessa Renfort
• Toinette Renfroe
• Michael Richard Renfrow, M.D.
• Bria Renna
• Karin Hunter Reno, PA
• Marie Pauline Renoit, ARNP
• Shanon Renouf
• Renovation Home Health Care,Inc

• Adult Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.