CONSTELLATION MEDICAL GROUP LLC NPI 1225794852

NPI Information

  • NPI: 1225794852
  • Provider Name: CONSTELLATION MEDICAL GROUP LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: ONE HEALTH MEDICAL CENTER-NORTH MIAMI BEACH
  • CLIA Number: 10D2023341
  • Address: 1850 NE 163RD ST
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Phone: (786) 552-7800

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NPI Details

CONSTELLATION MEDICAL GROUP LLC is a general practice in North Miami Beach, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CONSTELLATION MEDICAL GROUP LLC NPI is 1225794852. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As One Health Medical Center-north Miami Beach.

The provider's business location address is:

1850 NE 163RD ST
NORTH MIAMI BEACH, FL
ZIP 33162-867
Phone: (786) 552-7800

The provider's authorized official is Nicolas Alvarez .
The authorized official title is Ceo and has the following contact phone number (786) 552-7800.

The CLIA number assigned to this NPI record is 10D2023341 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 2/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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