# MI TIERRA MEDICAL GROUP CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811871916
- **Authorized official:** JOAN RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (786) 238-3054

## Contact information

- **Practice address:** 14201 SW 120TH ST STE 110, MIAMI, FL 33186-7662
- **Practice address phone:** (786) 238-7492
- **Practice address fax:** (786) 238-7426
- **Mailing address:** 14201 SW 120TH ST STE 110, MIAMI, FL 33186-7662
- **Mailing address phone:** (786) 238-7492
- **Mailing address fax:** (786) 238-7426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2025
- **Last updated:** 09/25/2025