Organization Active NPI

Serena Wellness LLC

  • Adult Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1871469429
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
SERENA WELLNESS LLC
Practice address
14400 NW 77TH CT Suite 103
Miami Lakes, FL 33016-1590
Phone
(949) 994-6708
Fax
(949) 994-6550
NPI assigned
Oct 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Maria Siervo
Title
Owner
Phone
(949) 994-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

14400 NW 77TH CT Suite 103
Miami Lakes, FL 33016-1590

Mailing address

14400 NW 77TH CT Suite 103
Miami Lakes, FL 33016-1590
Phone (949) 994-6708

Other names 1

  • Serena Primary Care and Med Spa Other name

National Provider Directory

National Provider Directory

Locations

14400 NW 77th Ct
Ste 103
Miami Lakes, FL 33016
Phone (949) 994-6708

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1871469429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT SUITE 103",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "949-994-6708",
            "fax_number": "949-994-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT SUITE 103",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "949-994-6708",
            "fax_number": "949-994-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "SIERVO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-994-6708"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serena Primary Care and Med Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.