Mi Tierra Medical Group Corp
NPI 1790455053 · Mental Health Clinic/Center (Including Community Mental Health Center) · Miami, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mi Tierra Medical Group Corp is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Miami, FL (NPI 1790455053).
Provider details
- NPI number
- 1790455053
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joan Rodriguez, President(786) 238-3054
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Mi Tierra Medical Group Corp's NPI number?
- Mi Tierra Medical Group Corp's National Provider Identifier (NPI) is 1790455053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mi Tierra Medical Group Corp?
- Mi Tierra Medical Group Corp is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Mi Tierra Medical Group Corp located?
- Mi Tierra Medical Group Corp's practice location on file with NPPES is 14201 Sw 120th St Ste 110, Miami, FL 33186-7662.
- What is Mi Tierra Medical Group Corp's phone number?
- The practice phone number listed in the NPPES registry for Mi Tierra Medical Group Corp is (786) 238-7492.
- Does Mi Tierra Medical Group Corp accept Medicare?
- Mi Tierra Medical Group Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mi Tierra Medical Group Corp?
- The authorized official listed on Mi Tierra Medical Group Corp's NPPES record is Joan Rodriguez, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mi Tierra Medical Group Corp's NPI active?
- Yes — Mi Tierra Medical Group Corp's NPI (1790455053) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.