Organization Active NPI

Constantino Costarangos M.D., P.a.

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1215008909
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CONSTANTINO COSTARANGOS M.D., P.A.
Practice address
10251 SW 72ND St
Suite A101
Miami, FL 33173-2957
Phone
(305) 251-3991
Fax
(305) 251-7982
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Constantino Costarangos, M.D.NPI 1730165200
Title
Medical Doctor
Phone
(305) 251-3991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X FL Primary

Addresses

Primary practice location

10251 SW 72ND St
Suite A101
Miami, FL 33173-2957

Mailing address

10251 SW 72ND St
Suite A101
Miami, FL 33173-2957
Phone (305) 251-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000644 FL Part B Supplier - Clinic/Group Practice 4981661808 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL; Hialeah, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

10251 SW 72nd St
Ste 101
Miami, FL 33173
Phone (305) 274-9205

10251 SW 72nd St
Ste A101
Miami, FL 33173
Phone (305) 274-9205

10251 SW 72nd St
#A101
Miami, FL 33173
Phone (305) 274-9205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1215008909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST",
            "address_2": "SUITE A101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST",
            "address_2": "SUITE A101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-251-3991",
            "fax_number": "305-251-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTINO COSTARANGOS M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "COSTARANGOS",
        "authorized_official_first_name": "CONSTANTINO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-251-3991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.