Individual
LUIS FERNANDO RENGIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16358 SW 76TH ST, MIAMI, FL 33193-3456
(305) 496-4126
(305) 816-6718
Mailing address
16358 SW 76TH ST, MIAMI, FL 33193-3456
(305) 496-4126
(305) 816-6718
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11017711
FL
Other
Enumeration date
06/13/2022
Last updated
11/01/2024
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