Organization Active NPI

Integrum Medical Group, LLC

Doing business as Integrum Medical Group

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1770053761
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTEGRUM MEDICAL GROUP, LLC
Doing business as
Integrum Medical Group
Practice address
8756 SW 72ND St
Miami, FL 33173-3512
Phone
(786) 598-7004
Fax
(786) 598-7005
NPI assigned
Dec 3, 2018
Organization subpart
Yes
Parent organization
INTEGRUM HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Mr. Raul A Gonzalez
Title
Managing Partner
Phone
(786) 598-7004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8756 SW 72ND St
Miami, FL 33173-3512

Mailing address

8756 SW 72ND St
Miami, FL 33173-3512
Phone (786) 384-1150

Other names 1

  • Integrum Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190718002845 FL Part B Supplier - Clinic/Group Practice 8527393107 Receives reassigned benefits from 3 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2165635Integrum Medical Group, LLC8756 SW 72ND Street, Miami, FL 33173Certificate of waiverMay 1, 2027

National Provider Directory

National Provider Directory

Locations

8756 SW 72nd St
Miami, FL 33173
Phone (786) 384-1150

Practitioners & affiliated clinicians

Practitioners 3

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": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1770053761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8756 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733512",
            "telephone_number": "786-384-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8756 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733512",
            "telephone_number": "786-598-7004",
            "fax_number": "786-598-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRUM MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRUM HEALTHCARE CORPORATION",
        "enumeration_date": "2018-12-03",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "786-598-7004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrum Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.