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Individual provider Active NPI

Genner Fadragas Clavelo

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1730826488
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05220228 Issued in FL
Practice address
295 Park Blvd
Miami, FL 33126-8010
Phone
(786) 800-3327
NPI assigned
May 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X F05220228 FL Primary

Addresses

Primary practice location

295 Park Blvd
Miami, FL 33126-8010

Mailing address

295 Park Blvd
Miami, FL 33126-8010
Phone (786) 800-3327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110002393 FL Practitioner - Nurse Practitioner 9133596794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Medical Services - Cardiology Division LLCGroup PAC ID 0244696581, 10 clinicians

Practice addresses (Care Compare)

2801 NW 79TH Ave
Doral, FL 33122-1174
Phone (786) 466-1286

8260 W Flagler St
Suite 1a
Miami, FL 33144-2069
Phone (786) 715-9183

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05220228FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Multi-Specialty CurrentSince Jan 20, 2026 Accepting new patients
Nova Medical Services - Cardiology Division LLC Multi-Specialty CurrentSince Apr 13, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida Multi-Specialty CurrentSince Jan 20, 2026 Accepting new patients

Locations

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1730826488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PARK BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331268010",
            "telephone_number": "786-800-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PARK BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331268010",
            "telephone_number": "786-800-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADRAGAS CLAVELO",
        "first_name": "GENNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F05220228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.