Individual
LUIS F SAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 NW 16TH ST, GERIATRICS AND EXTENDED CARE, MIAMI, FL 33125-1624
(305) 575-3559
(305) 575-7515
Mailing address
1201 NW 16TH ST, GERIATRICS AND EXTENDED CARE, MIAMI, FL 33125-1624
(305) 575-3559
(305) 575-7515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME59429
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
ME59429
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME59429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0552747-00
—
FL
Enumeration date
04/13/2006
Last updated
09/04/2014
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