NPIMap

Organization Active NPI

Medgroup Medical Center LLC

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1932999513
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDGROUP MEDICAL CENTER LLC
Practice address
304 N Krome Ave
Homestead, FL 33030-6039
Phone
(305) 761-6685
NPI assigned
May 8, 2025
Organization subpart
Yes
Parent organization
MEDGROUP MEDICAL CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Santiago Vera
Title
Manager
Phone
(305) 761-6685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

304 N Krome Ave
Homestead, FL 33030-6039

Mailing address

304 N Krome Ave
Homestead, FL 33030-6039
Phone (305) 761-6685

National Provider Directory

National Provider Directory
Tax ID family
Medgroup Medical Center3 organizations share this tax ID, including this one
Part of
Medgroup Medical Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1932999513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306039",
            "telephone_number": "305-761-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306039",
            "telephone_number": "305-761-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDGROUP MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDGROUP MEDICAL CENTER LLC",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-761-6685"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.