Medgroup Medical Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AHCA HCC 9140 Issued in FL

Legal business name

MEDGROUP MEDICAL CENTER LLC

Practice address

5200 SW 8TH St
Suite 150
Coral Gables, FL 33134-2300

Phone

(305) 250-5600

Fax

(305) 250-5688

NPI assigned

May 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Santiago Vera

Title

MGRM

Phone

(305) 250-5600

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1225320054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SW 8TH ST",
            "address_2": "SUITE 150",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342300",
            "telephone_number": "305-761-6685",
            "fax_number": "305-250-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SW 8TH ST",
            "address_2": "SUITE 150",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342300",
            "telephone_number": "305-250-5600",
            "fax_number": "305-250-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 N Krome Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330306039",
            "country_code": "US",
            "telephone_number": "305-250-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDGROUP MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "305-250-5600"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "AHCA HCC 9140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Medellin
• Isabel Mederos
• Jeily Mederos, CBHCM
• Medex House.LLC
• Medgroup Medical Center
• Medi Partners of So Florida LLC
• Medica Health Plans of Florida, Inc.
• Medica Healthcare Plans, Inc.
• Medical Arts Inc.
• Medical Arts Network Inc

• Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.