OrganizationActive
Medigroup of Dade Corp
NPI 1720400112 · Health Service Clinic/Center · Miami, FL
Provider details
- NPI number
- 1720400112
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Humberto Martinez, President(786) 212-1007
- License
- HCC11032 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3383 Nw 7th St Ste 306
Miami, FL 33125-4140
Phone: (786) 212-1007
Fax: (786) 703-7142
Street-level locationGet directions
Mailing address
3383 Nw 7th St Ste 306
Miami, FL 33125-4140
Registry dates
- Enumerated
- 2014-01-20
- Last updated
- 2014-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.