Organization · Type 2 NPI

Mi Tierra Medical Group Corp

Mental Health Clinic/Center (Including Community Mental Health Center) · Miami, FL

NPI number 1790455053 Active

Practice location

14201 SW 120th St Ste 110
Miami, FL 33186-7662

Fax (786) 238-7426

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Case Management Agency 251B00000XNone listed
Clinic/Center 261Q00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

4 other providers at this address

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About NPI 1790455053

Mi Tierra Medical Group Corp's National Provider Identifier is 1790455053, issued on Sep 17, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Miami, FL. The record was last updated on Oct 2, 2025.