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MIAMI MED GROUP INC
NPI 1942974555
General Practice in Miami, FL

Active since August 06, 2021
12700 SW 122ND AVE, SUITE 105, MIAMI, FL 33186(786) 206-8521(786) 741-2636 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2023, Aug 30, 2023, Aug 24, 2023 and 1 more (4 updates tracked since 2021).

About Miami Med Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIAMI MED GROUP INC (NPI 1942974555) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since August 2021. The organization lists Dilio Bravo, President/owner, as its authorized official.

NPPES Registry Identity

NPI1942974555
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMIAMI MED GROUP INC
Location Address12700 SW 122ND AVE, SUITE 105Miami, FL 33186-5271
Mailing Address12700 Sw 122nd Ave, Suite 105Miami, FL 33186-5271 · (786) 206-8521 · Fax (786) 741-2636
Phone(786) 206-8521
Fax(786) 741-2636
Organization SubpartNo
Authorized OfficialDilio BravoPresident/owner · (786) 206-8521
Enumeration DateAugust 6, 2021
Last NPPES UpdateNovember 2, 20234 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1942974555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
12700 SW 122ND AVE, Miami, FL 33186
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2266266

Miami Med Group Inc · Miami, FL
Expired · Aug 8, 2026
CLIA Number10D2266266
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDilio Bravo
Laboratory Phone(786) 206-8521
Laboratory LocationMiami Med Group Inc12700 SW 122nd Ave Suite 105, Miami, FL 33186
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS E MEDINA
Behavior Technician
12700 SW 122ND AVE
MIAMI, FL 33186
Miami-Dade County (305) 338-7085
YOLANDA SOTO
Assistant Behavior Analyst
12700 SW 122ND AVE
MIAMI, FL 33186
Miami-Dade County (786) 353-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miami Med Group Inc's NPI number?

The NPI number for Miami Med Group Inc is 1942974555. It was assigned to this organization in the NPPES registry on August 6, 2021.

Where is Miami Med Group Inc located?

Miami Med Group Inc is located at 12700 SW 122nd Ave Suite 105, Miami, FL 33186. The listed phone number is (786) 206-8521.

What is Miami Med Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Miami Med Group Inc was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.