Regenerative Medicine of Maine, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

REGENERATIVE MEDICINE OF MAINE, LLC

Doing business as

QC Kinetix

Practice address

23 Durham Rd
Suite 301
Freeport, ME 04032-6796

Phone

(207) 389-5009

Fax

(207) 209-5089

NPI assigned

Jan 28, 2025

Last updated

Jan 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose Luis Mora

Title

President

Phone

(786) 247-2169

Specialties & licenses 1

Addresses

Other names 1

• QC Kinetix Doing business as

Locations

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1891508578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 TAGUS AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331566405",
            "telephone_number": "786-247-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DURHAM RD",
            "address_2": "SUITE 301",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326796",
            "telephone_number": "207-389-5009",
            "fax_number": "207-209-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE OF MAINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-247-2169",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QC Kinetix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Freeport, ME
• Providers in Freeport, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.