Mi Dynamic Medical Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MI DYNAMIC MEDICAL GROUP LLC

Practice address

1222 SE 47TH St Ste 201
Cape Coral, FL 33904-9602

Phone

(239) 342-6516

Fax

(239) 374-8342

NPI assigned

Jul 12, 2025

Organization subpart

No

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

Authorized official

Name

Ivette DieguezNPI 1174154926

Title

Aprn

Phone

(239) 342-6516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Ivette Dieguez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1174154926
  Medicare reassignment Care Compare group NPD Authorized official
• Maylin Rodriguez Fernandez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1528744950
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1700777224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 201",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049602",
            "telephone_number": "239-342-6516",
            "fax_number": "239-374-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 201",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049602",
            "telephone_number": "239-342-6516",
            "fax_number": "239-374-8342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 NW 79th Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666502",
            "country_code": "US",
            "telephone_number": "239-342-6516",
            "fax_number": "239-374-8342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MI DYNAMIC MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-12",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "DIEGUEZ",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "239-342-6516"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Mesina, LMHC
• Felix Mestas, M.D.
• Benjamin Howard Meyer, PTA
• Mikaela Marie Meyer
• Rachel Meyer, CPB
• Miami Community Health Center, Inc
• Michael a Leake DC PC
• Michael Ahuja MD LLC
• Michael Fate
• Michael H McMillan DMD, PA

• Psychiatric/Mental Health Nurse Practitioner in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.