Individual
DR. LUIS ENRIQUE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1170 SW BAYSHORE BLVD STE 200, PORT ST LUCIE, FL 34983-2408
(772) 309-0020
(855) 538-3104
Mailing address
1170 SW BAYSHORE BLVD STE 200, PORT ST LUCIE, FL 34983-2408
(772) 309-0020
(855) 538-3104
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19469
PR
208D00000X
General Practice Physician
Primary
ACN1761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13786-I
JUNTA MEDICA DE PR
PR
Enumeration date
04/14/2016
Last updated
10/14/2025
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