Miami Med Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIAMI MED GROUP INC

Practice address

12700 SW 122ND Ave
Suite 105
Miami, FL 33186-5271

Phone

(786) 206-8521

Fax

(786) 741-2636

NPI assigned

Aug 6, 2021

Organization subpart

No

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

Authorized official

Name

Dilio Bravo, APRNNPI 1093348716

Title

President/Owner

Phone

(786) 206-8521

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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

• Dilio Bravo, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1093348716
  Medicare reassignment NPD Authorized official
• Dayuri Gallardo, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1417414046
  Medicare reassignment NPD
• Maria I Delgado, MD

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1689672867

  General Practice

  NPD (past)
• Yelennys Martin

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1962068494
  NPD (past)
• Neyma Reyes

  • Primary Care Nurse Practitioner
  • Miami, FL
  • NPI 1669099701

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1942974555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SW 122ND AVE",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865271",
            "telephone_number": "786-206-8521",
            "fax_number": "786-741-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW 122ND AVE",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865271",
            "telephone_number": "786-206-8521",
            "fax_number": "786-741-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI MED GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "DILIO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-206-8521",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Lakes Pediatrics PLLC
• Miami Laser Vision P.a.
• Miami Lice LLC
• Miami Lighthouse for the Blind and Visually Impaired, Inc.
• Miami Med DME Inc
• Miami Med Services LLC
• Miami Medical & Rejuvenation Inc
• Miami Medical & Wellness Center LLC
• Miami Medical Associates, P.a.
• Miami Medical Care Corporation

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.