Organization · Type 2 NPI

Constellation Medical Group LLC

General Practice Physician · North Miami Beach, FL

NPI number 1225794852 Active

Practice location

1850 NE 163rd St
North Miami Beach, FL 33162-4867

Call (786) 552-7800 Map

Mailing address

1205 SW 37th Ave
Miami, FL 33135-4226

Other practice locations

15600 NW 67th Ave Ste 105, Miami Lakes, FL 33014-2175 · (786) 552-7800
85 Grand Canal Dr Ste 203, Miami, FL 33144-2564 · (786) 552-7800

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Family Medicine) Physician	207QG0300X	None listed
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

Other general practice physician providers in North Miami Beach

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NPI record

NPI: 1225794852
Entity type: Organization (Type 2)
Issued: Nov 9, 2021
Last updated: Feb 9, 2022
Status: Active
Subpart: Yes of Constellation Medical Group LLC

Other names

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One Health Medical Center-North Miami Beach · doing business as

Authorized official

Dr. Nicolas Alvarez, MD
CEO
(786) 552-7800

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225794852

Constellation Medical Group LLC's National Provider Identifier is 1225794852, issued on Nov 9, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in North Miami Beach, FL. The record was last updated on Feb 9, 2022.