Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mgm IPA Dade 001 LLC

Organization Internal Medicine Physician · NPI 1619303112

Mgm IPA Dade 001 LLC is an Internal Medicine Physician in Cutler Bay, Florida. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8318 SW 193rd St
Cutler Bay, FL 33157-8085
Phone: (305) 964-5119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X
Exclusive Provider Organization Taxonomy 302F00000X

Record details

NPI number1619303112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Espino — Ceo/President · (786) 395-1165
NPI enumeratedSeptember 17, 2013
Last updated in NPPESSeptember 17, 2013
Mailing address8318 Sw 193rd St, Cutler Bay, FL 33157-8085

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