Organization Active NPI

Regen 40 LLC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Miami, FL
National Provider Identifier
1801535349
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
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

Updated by the provider on Jun 2, 2022

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)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081N0008X Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address patientinfo@regen40.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.