Unknown Individual – Cardiovascular Disease Physician, NPI 1619081874

Unknown Individual is a healthcare provider. based in North miami beach, Florida. specializing in Cardiovascular Disease Physician. The NPI Number for Unknown Individual is 1619081874

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619081874
Phone
(305) 957-8818
Address
290 NW 165TH ST
Deactivation Date
7 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Northeast 165th Street, North Miami Beach, Miami-Dade County, Florida, 33162, United States

    SUITE P250

    NORTH MIAMI BEACH, FL 331696482

    Phone: (305) 957-8818

    Fax: (305) 957-7234

    Type: Mailing

  • Southwest 40th Street, Miami, Miami-Dade County, Florida, 33175, United States

    SUITE 329

    MIAMI, FL 331753582

    Phone: (305) 559-8519

    Fax: (305) 559-2241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33169)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1619081874.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near North Miami Beach, Florida may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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