Organization Active NPI

MD Individual Services Inc

  • Adult Medicine Physician
  • Miami, FL
National Provider Identifier
1245039296
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
MD INDIVIDUAL SERVICES INC
Practice address
12855 SW 136TH Ave Ste 211
Miami, FL 33186-5828
Phone
(786) 492-2721
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Mr. Yunior Hernandez Caballero
Title
President
Phone
(786) 492-2721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

12855 SW 136TH Ave Ste 211
Miami, FL 33186-5828

Mailing address

12855 SW 136TH Ave Ste 211
Miami, FL 33186-5828
Phone (786) 492-2721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250605000607 FL Part B Supplier - Clinic/Group Practice 7012426505 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

12855 SW 136th Ave
Ste 211
Miami, FL 33186
Phone (305) 232-9791

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1245039296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 SW 136TH AVE STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865828",
            "telephone_number": "786-492-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 SW 136TH AVE STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865828",
            "telephone_number": "786-492-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD INDIVIDUAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ CABALLERO",
        "authorized_official_first_name": "YUNIOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-492-2721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.