DR. LUIS EDUARDO LLERENA (NPI# 1487611901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487611901 |
| Entity Type | Individual |
| Full Name | DR. LUIS EDUARDO LLERENA |
| Credential | M.D. |
| Practice Address |
14100 Fivay Rd Suite 280 Hudson FL 34667-7180 |
| Practice Telephone | 7278626524 |
| Practice Fax Number | 7278626439 |
| Mailing Telephone | 7278626524 |
| Mailing Fax Number | 7278626439 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME85050 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264771100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164148 | Luis A Llerena | Internal Medicine | 18099 Lorain Ave, Suite 533, Cleveland, OH 44111-5610 | 2005-09-12 |
| Street Address |
14100 FIVAY RD SUITE 280 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-7180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576805 | Sambasiva K. Rao Musunuru | Internal Medicine | 14100 Fivay Rd, Hudson, FL 34667-7180 | 2005-05-23 |
| 1528335122 | Emily Katherine Lucci | Physical Therapist | 14100 Fivay Rd, Suite 210, Hudson, FL 34667-7180 | 2011-11-27 |
| 1205121258 | Mary Ellen Lian | Speech-Language Pathologist | 14100 Fivay Rd, Suite 210, Hudson, FL 34667-7180 | 2011-06-16 |
| 1790070381 | Matthew A Simpson | Nurse Anesthetist, Certified Registered | 14100 Fivay Rd, Hudson, FL 34667-7180 | 2011-06-13 |
| 1033408463 | Sara Darlene Kietzman | Speech-Language Pathologist | 14100 Fivay Rd, 210a, Hudson, FL 34667-7180 | 2011-04-06 |
| 1073812384 | Monica Yvette Plazarte | Internal Medicine | 14100 Fivay Rd, Suite 250, Hudson, FL 34667-7180 | 2011-03-25 |
| 1780815340 | Anna Szafran-swietlik | Internal Medicine | 14100 Fivay Rd, Diabetes Care Center, Hudson, FL 34667-7180 | 2009-07-30 |
| 1598993032 | Neuro Orthopedic Rehab Associates Pllc | Physical Medicine & Rehabilitation | 14100 Fivay Rd, Suite 340, Hudson, FL 34667-7180 | 2009-06-23 |
| 1437383171 | Marshall M. Desantis, M.d.,pa | Specialist | 14100 Fivay Rd, Suite 300, Hudson, FL 34667-7180 | 2009-05-10 |
| 1558503367 | Irene Kardashian M.d., P.a. | Internal Medicine | 14100 Fivay Rd, Suite 100, Hudson, FL 34667-7180 | 2009-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518991876 | Stephen A Rowe | Surgery | 14100 Fivay Rd, Suite 280, Hudson, FL 34667-7180 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619422607 | Shawn A. Mcclure Dmd, Md | Surgery | 8755 Sw 57th Pl, Cooper City, FL 33328-5921 | 2016-08-18 |
| 1326434556 | Kyle Leneweaver | Surgery | 5151 N 9th Ave # 305, Pensacola, FL 32504-8721 | 2015-04-14 |
| 1093063869 | Ocala Health Trauma, LLC | Surgery | 205 Se 14th Pl, Ocala, FL 34471-4341 | 2012-08-27 |
| 1912262544 | Injury Management, LLC | Surgery | 4010 Nw 100th Ave, Coral Springs, FL 33065-1549 | 2012-07-10 |
| 1558664987 | Moshe Stav Md Pa | Surgery | 1550 Ponce De Leon Dr, 3200 S. University Dr, Rm 7374, Fort Lauderdale, FL 33316-1324 | 2010-12-07 |
| 1154589786 | Meredith Lynn Shaddix | Surgery | 5153 North 9th Avenue, Suite 305, Pensacola, FL 32504 | 2008-05-30 |
| 1760681225 | Omar Mahmoud El-sheikh | Surgery | 801 E. 6th Street, Suite 602, Panama City, FL 32401-3663 | 2007-07-15 |
| 1689710279 | Thomas Anthony Abbruzzese | Surgery | 1654 Village Center Dr Apt 207, Lakeland, FL 33803-2892 | 2007-01-30 |
| 1003900952 | Meredith Tinti | Surgery | 3627 University Blvd S Ste 500, Jacksonville, FL 32216-7405 | 2006-10-03 |
| 1194748947 | James Carver Boyd | Surgery | 2280 N 9th Ave, Pensacola, FL 32503-3949 | 2006-07-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.