MEDICARE: CONSTRUCTIVE SURGERY GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1114861895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSTRUCTIVE SURGERY GROUP, LLC

Provider Business Mailing Address
First Line	:	1675 MICANOPY AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2542
Country	:	US
Telephone Number	:	786-627-4601
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 CORAL WAY STE 306
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2945
Country	:	US
Telephone Number	:	786-627-4601
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CHRISTOPHER SALGADO
Credential	:	MD
Telephone Number	:	786-627-4601

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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