Active NPI
Regen 40 LLC
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Miami, FL
National Provider Identifier
1801535349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- REGEN 40 LLC
- Practice address
- 8950 SW 74TH CT Ste 2201
Miami, FL 33156-3181 - Phone
- (786) 972-2643
- Fax
- (786) 524-0509
- NPI assigned
- Jun 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Luis A Narciso Sr.
- Title
- President
- Phone
- (786) 972-2643
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
8950 SW 74TH CT Ste 2201
Miami, FL 33156-3181
Mailing address
8950 SW 74TH CT Ste 2201
Miami, FL 33156-3181
Phone (786) 972-2643
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patientinfo@regen40.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654128000000",
"number": "1801535349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT STE 2201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563181",
"telephone_number": "786-972-2643",
"fax_number": "786-524-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT STE 2201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563181",
"telephone_number": "786-972-2643",
"fax_number": "786-524-0509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGEN 40 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "NARCISO",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-972-2643",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "patientinfo@regen40.com",
"affiliation": "N",
"endpointDescription": "Digital endpoint for patient information exchange",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "General patient notifications",
"address_1": "8950 SW 74th Ct Ste 2201",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331563181",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.