Individual
LUIS ANTONIO SARDINA PENA
Active
Individual
LUIS ANTONIO SARDINA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD2024-0810
NM
207ND0900X
Dermatopathology Physician
MD2024-0810
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD2024-0810
NM
Other
Enumeration date
06/22/2015
Last updated
05/14/2026
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