Organization Active NPI

Genx Medical Spa

  • General Practice Physician
  • Plantation, FL
National Provider Identifier
1780076729
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GENX MEDICAL SPA
Practice address
823 S University Dr # C-94
Plantation, FL 33324-3317
Phone
(954) 993-6847
NPI assigned
Feb 27, 2015
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Andrea Carrasco
Title
President
Phone
(786) 797-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

823 S University Dr # C-94
Plantation, FL 33324-3317

Mailing address

2115 NE 198TH Ter
Miami, FL 33179-3133
Phone (954) 993-6847

National Provider Directory

National Provider Directory

Locations

823 S University Dr
#C94
Plantation, FL 33324
Phone (954) 993-6847

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1780076729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 NE 198TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793133",
            "telephone_number": "954-993-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S UNIVERSITY DR # C-94",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243317",
            "telephone_number": "954-993-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENX MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-797-3187"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.