Organization Active NPI

Fax Pharma Inc

  • Research Clinic/Center
  • Miami, FL
National Provider Identifier
1194509208
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
FAX PHARMA INC
Practice address
3850 Bird Rd Ste 105
Miami, FL 33146-1507
Phone
(786) 590-1567
Fax
(786) 524-5733
NPI assigned
Aug 21, 2023
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Francisco X Moncada, RNNPI 1720352131
Title
Owner/Founder
Phone
(786) 590-1567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X NU Primary

Addresses

Primary practice location

3850 Bird Rd Ste 105
Miami, FL 33146-1507

Mailing address

3850 Bird Rd Ste 105
Miami, FL 33146-1507
Phone (786) 590-1567

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2284080Fax Pharma Inc3850 Bird Road Suite 105, Miami, FL 33146Provider-performed microscopyJun 15, 2027

National Provider Directory

National Provider Directory

Locations

3850 Bird Rd
Ste 105
Miami, FL 33146
Phone (786) 590-1567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1194509208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461507",
            "telephone_number": "786-590-1567",
            "fax_number": "786-524-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461507",
            "telephone_number": "786-590-1567",
            "fax_number": "786-524-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAX PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "MONCADA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "786-590-1567",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.