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

Active since August 06, 2021CLIA 10D2266266 · Waiver
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: October 18, 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 holds a CLIA Waiver certificate valid through August 8, 2028 and 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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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miami Med Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Miami Med Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dilio Bravo, APRN
Nurse Practitioner
NPI 1093348716
12700 SW 122ND AVE STE 105
Miami, FL 33186
(786) 206-8521
✔ PECOS✔ Accepts MedicareSame address
Dayuri Gallardo, APRN
Nurse Practitioner
NPI 1417414046
8940 N KENDALL DR STE 901E
Miami, FL 33176
(786) 596-5007
✔ PECOS✔ Accepts Medicare4.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Active · expires Aug 8, 2028
CLIA Number10D2266266
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2026
Certificate Expiration DateAugust 8, 2028
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.

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.

Is Miami Med Group Inc enrolled in Medicare?

Yes. Miami Med Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miami Med Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Miami Med Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Miami Med Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2266266) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.