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

Mi Tierra Medical Group Corp

Organization Family Medicine Physician · NPI 1790455053

Mi Tierra Medical Group Corp is a Family Medicine Physician in Miami, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14201 SW 120th St Ste 110
Miami, FL 33186-7662
Phone: (786) 238-7492
Fax: (786) 238-7426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Family Medicine Physician Taxonomy 207Q00000X
Case Management Agency Taxonomy 251B00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1790455053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joan Rodriguez — President · (786) 238-3054
NPI enumeratedSeptember 17, 2021
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address14201 Sw 120th St Ste 110, Miami, FL 33186-7662

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