Individual provider Active NPI

Alejandro Gabriel Trepp Carrasco, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Plantation, FL
National Provider Identifier
1144518085
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME115618 Issued in FL
Practice address
1776 N Pine Island Rd Ste 218
Plantation, FL 33322-5223
Phone
(954) 314-7526
Fax
(954) 314-7536
NPI assigned
Jul 12, 2011
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME115618 FL Primary

Addresses

Primary practice location

1776 N Pine Island Rd Ste 218
Plantation, FL 33322-5223

Mailing address

1776 N Pine Island Rd Ste 218
Plantation, FL 33322-5223
Phone (954) 314-7526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Endocrine Institute PLLC Endocrinology, Diabetes & Metabolism Current Accepting new patients

Locations

1776 N Pine Island Rd
Ste 218
Plantation, FL 33322
Phone (954) 472-8899

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1144518085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 218",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225223",
            "telephone_number": "954-314-7526",
            "fax_number": "954-314-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 218",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225223",
            "telephone_number": "954-314-7526",
            "fax_number": "954-314-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREPP CARRASCO",
        "first_name": "ALEJANDRO",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME115618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.