Provider Demographics
NPI:1124995253
Name:RIOPEDRE SANTANA, LUIS M
Entity type:Individual
Prefix:DR
First Name:LUIS M
Middle Name:
Last Name:RIOPEDRE SANTANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 NW 133RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-1800
Mailing Address - Country:US
Mailing Address - Phone:786-482-5019
Mailing Address - Fax:786-482-5493
Practice Address - Street 1:8300 SW 8TH ST STE 108
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4100
Practice Address - Country:US
Practice Address - Phone:786-482-5019
Practice Address - Fax:786-482-5493
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11043097363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily