Provider Demographics
NPI:1972503019
Name:CORREA, LUIS F (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:F
Last Name:CORREA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3801 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-9800
Mailing Address - Country:US
Mailing Address - Phone:305-571-0620
Mailing Address - Fax:305-576-0899
Practice Address - Street 1:3801 BISCAYNE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-9800
Practice Address - Country:US
Practice Address - Phone:305-571-0620
Practice Address - Fax:305-576-8099
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2022-01-13
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Provider Licenses
StateLicense IDTaxonomies
FLME51407207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254035500Medicaid
FL254035500Medicaid