Constellation Medical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CONSTELLATION MEDICAL GROUP LLC

Doing business as

One Health Medical Center-North Miami Beach

Practice address

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

Phone

(786) 552-7800

NPI assigned

Nov 9, 2021

Organization subpart

Yes

Parent organization

CONSTELLATION MEDICAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Nicolas Alvarez, MD

Title

Ceo

Phone

(786) 552-7800

Specialties & licenses 2

Addresses

Other names 1

• One Health Medical Center-North Miami Beach Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Constellation Medical Group LLC

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1225794852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SW 37TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354226",
            "telephone_number": "786-552-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624867",
            "telephone_number": "786-552-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15600 NW 67th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142175",
            "country_code": "US",
            "telephone_number": "786-552-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Grand Canal Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331442564",
            "country_code": "US",
            "telephone_number": "786-552-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSTELLATION MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSTELLATION MEDICAL GROUP LLC",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-552-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Health Medical Center-North Miami Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.