Advantage Medical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANTAGE MEDICAL GROUP LLC

Practice address

715 E Vine St Ste 1
Kissimmee, FL 34744-4232

Phone

(407) 930-1112

Fax

(407) 930-1114

NPI assigned

Mar 15, 2017

Last updated

Jan 22, 2024By 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

Dr. Arcilio Alvarado, M.D

Title

Ceo

Phone

(787) 306-8356

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Tax ID family

Advantage Medical Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Advantage Medical Group LLC

  • General Practice Physician
  • Orange City, FL
  • NPI 1538920038
  NPD tax ID
• Advantage Medical Group LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1568833093
  NPD tax ID
• Advantage Medical Group LLC

  • General Practice Physician
  • Lakeland, FL
  • NPI 1841718327
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zelinette Alvarado Rodriguez, MD

  • General Practice Physician
  • Orlando, FL
  • NPI 1427826031
  NPD (past)
• Briseida Munoz, MD

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1174643308
  NPD (past)

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1932640539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E VINE ST STE 1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444232",
            "telephone_number": "407-930-1112",
            "fax_number": "407-930-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E VINE ST STE 1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444232",
            "telephone_number": "407-930-1112",
            "fax_number": "407-930-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "ARCILIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-306-8356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, 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 Jan 22, 2024; 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.