Concierge Medicine in Coral Gables

Concierge medicine in Coral Gables is a membership model in which you pay a practice directly for a deliberately small physician panel, unhurried appointments, and direct 24/7 access to your own doctor. At PURE Executive Health & Wellness, at 4100 Salzedo Street, that means each physician cares for a few hundred members rather than the 2,000-plus typical of insurance-based primary care, appointments run 60 to 90 minutes, and your physician — not a call center — answers when you reach out. Membership is paid to the practice and runs alongside your existing health insurance rather than replacing it.

This page explains how the model works, what the peer-reviewed evidence actually shows about the mechanism behind it, how PURE differs from the hospital-system and boutique-internist options within a few blocks of us, and exactly what is and is not included in membership. This page is intended for Coral Gables residents and executives considering a concierge doctor for personalized, high-access primary care.

What Concierge Medicine Is — and What the Evidence Behind It Shows

Concierge medicine is often described in terms of amenities. That framing undersells the clinical mechanism. What a small panel actually buys is continuity — the same physician, over years, holding the whole picture — and continuity is one of the more consistently studied variables in primary care research.

According to research published in BMJ Open, a systematic review by Pereira Gray and colleagues identified 22 studies across nine countries examining the relationship between continuity of care with a doctor and patient mortality. Eighteen of those 22 studies — 81.8% — reported statistically significant reductions in mortality associated with greater continuity of care, and the protective association held for both generalist and specialist physicians (DOI: 10.1136/bmjopen-2017-021161). The authors are careful to note that all of this evidence is observational rather than randomized, so it establishes association rather than proof of cause.

The supply side points the same direction. According to research published in JAMA Internal Medicine, Basu and colleagues analyzed 3,142 U.S. counties from 2005 to 2015 and found that every 10 additional primary care physicians per 100,000 population was associated with a 51.5-day increase in life expectancy (95% CI, 29.5–73.5 days). The same increase in specialist supply was associated with only 19.2 days. Over that same decade, primary care physician density in the United States fell from 46.6 to 41.4 per 100,000 (DOI: 10.1001/jamainternmed.2018.7624).

A 2022 systematic review in BMC Geriatrics quantified the utilization side in a cohort of 178,686 community-dwelling older adults: high versus low relational continuity with a primary care physician was associated with fewer hospital admissions (HR 0.94; 95% CI, 0.92–0.96) and fewer emergency department presentations (HR 0.90; 95% CI, 0.89–0.92), rated moderate-certainty evidence (DOI: 10.1186/s12877-022-03131-2). That population is older than most of our membership, so the effect sizes should be read as directional for a working executive rather than as a promise.

None of this says that paying a membership fee makes anyone live longer. What it says is that the thing concierge medicine is structurally designed to produce — one physician who knows you and stays with you — is the variable the literature keeps associating with better outcomes. Everything else in the model exists to protect that.

How PURE’s Coral Gables Practice Is Structured

The constraint that makes the rest possible is panel size. A conventional South Florida internist carries 2,000 to 3,000 patients. Fifteen-minute visits are not a preference in that setting; they are arithmetic. Our physicians carry a few hundred members each, which is what allows:

• 60 to 90 minute appointments that start on time and cover prevention and optimization, not just the acute complaint that got you in the door.
• Direct physician access by phone and text, 24 hours a day — your doctor’s line, not a triage queue.
• Same-day and next-day scheduling, including for members traveling or calling from abroad.
• House calls across Coral Gables, Coconut Grove, Brickell, Key Biscayne, and Fisher Island when clinically appropriate.
• Specialist coordination handled by your physician — she selects the specialist, sends the clinical question with your prior data attached, reads what comes back, and reconciles it into one record. We have written separately about who actually runs your care team in Miami.

PURE is led by Dr. Jennifer Miranda, board-certified in Internal Medicine, practicing alongside Dr. Sudha Lolayekar and Dr. David O’Connell.

Choosing a Concierge Doctor in Coral Gables: PURE vs. Hospital Systems vs. Boutique Internists

Coral Gables has become one of the densest concierge medicine markets in Florida, and the options are not interchangeable. Three distinct models operate here, sometimes on the same block.

Hospital-system concierge programs — the offerings attached to Baptist Health, University of Miami Health, and Mount Sinai — give you a smaller panel and faster access inside a large integrated network. If your medical situation is likely to require that system’s specialists and facilities, the integration is a real advantage. The trade-off is that the diagnostic menu is generally the standard-of-care menu, and your physician is still operating within a large institution’s protocols and throughput expectations.

The independent boutique internist — a solo or two-physician practice with a long-tenured local patient base — often delivers excellent relational continuity, which, per the evidence above, is the thing that matters most. The trade-off is usually diagnostic depth: advanced imaging, cardiopulmonary testing, and body composition are typically referred out rather than performed on site.

PURE occupies a third position: a precision diagnostics practice built around a comprehensive executive health assessment, with advanced testing performed in-house, wrapped in a concierge care access model. We are not a medical spa and not an IV-drip wellness clinic; the aesthetic and regenerative services we offer sit downstream of a diagnostic workup delivered as personalized care, not in place of one.

The honest version: if you want the shortest path into a specific hospital system’s specialists, choose that system’s program. If you want concierge medicine services centered on a physician who will personally run a deep annual diagnostic workup, interpret it against your genetics and your trajectory, and stay with you for a decade, that is what we built. Members frequently keep both relationships.

The Executive Health Assessment: What a Coral Gables Executive Physical Includes

The centerpiece of membership is a comprehensive executive health assessment completed as a single half-day exam rather than spread across six separate appointments. It typically includes advanced cardiometabolic laboratory work, cardiovascular risk assessment including carotid intima-media thickness testing, DEXA body composition and bone density, VO2 max cardiopulmonary testing, cancer screening review calibrated to your history, metabolic and hormonal evaluation, screening tests, and a written plan you leave with to support ongoing health decisions.

The scope of this in-house assessment and advanced diagnostics is set by your physician, not by a package tier, giving you clearer insight into what matters most. That is why the assessment for a 42-year-old founder with a family history of early cardiac death looks different from the assessment for a 61-year-old with well-controlled hypertension, with each one tailored to the patient’s health needs, history, and current symptoms. Details are on our executive physical page, and we have written a fuller account of what the most comprehensive executive health assessment in Miami includes.

What Membership Includes — and What It Does Not

Included:

• Your physician relationship and 24/7 access
• The annual executive health assessment
• Unhurried office visits
• House calls where clinically appropriate
• Specialist selection and coordination
• Medication reconciliation
• A consolidated medical record you own and can take with you

Not included:

• Health insurance (membership does not function as insurance)
• Specialist care, imaging, hospitalization, surgery, and prescriptions (covered by your existing plan)
• Membership fees are not reimbursed by commercial insurers or covered by Medicare
• Certain in-house diagnostics and elective wellness services (may generate a separate bill)

We publish a detailed breakdown of how concierge pricing works in this market in our guide to what concierge medicine costs in Miami. MD² charges about $200 per month in 2025, which shows how pricing models can vary. Some concierge models charge monthly, while others use an annual fee. PURE’s own fee structure is discussed in a private consultation, where patients should expect a review of fees, payment, and service scope because what membership includes varies with the scope of the diagnostic program a member wants.

Location, Hours, and Service Area

PURE Executive Health & Wellness is at 4100 Salzedo Street, Suite 4, Coral Gables, FL 33146 — five minutes from Shops at Merrick Park, ten minutes from Brickell. Office hours are Monday through Friday, 8:30 AM to 5:00 PM; member physician access is 24/7 and independent of office hours. Telephone: 786-227-6811.

We serve members across Coral Gables, Coconut Grove, Brickell, Key Biscayne, Fisher Island, Indian Creek, Miami Beach, Pinecrest, and South Miami, with convenient access from these locations, including Gables Estates, Cocoplum, and Star Island. Members outside Coral Gables may prefer our pages for concierge medicine in Miami Beach or our overview of what a concierge doctor in Miami does. For the practice as a whole, see PURE Executive Health & Wellness.

Frequently Asked Questions

What is concierge medicine?

Concierge medicine is a membership model in which patients pay a physician practice a recurring fee (Concierge medicine requires a membership fee not covered by insurance. [Fact: 1]) in exchange for a small patient panel, extended appointments, and direct access to their physician (Preventive care and wellness planning are emphasized in concierge medicine, and concierge services include personalized health assessments and wellness plans. [Fact: 1, 2]). Concierge physicians typically maintain panels of roughly 300 to 600 patients (Concierge doctors typically limit their patient load to 400-600 patients. [Fact: 1, 2, 3]), compared with 2,000 or more in conventional insurance-based primary care. The fee is paid to the practice and runs parallel to health insurance rather than replacing it.

How is concierge medicine in Coral Gables different from regular primary care?

The practical differences are appointment length, access, and continuity within a broader healthcare delivery model. A traditional primary care visit averages roughly 15 minutes and is structured around insurance coding, while a PURE visit is built for longer visits and a physician’s schedule designed around fewer, less rushed appointments, covering prevention and optimization alongside acute issues. Members get enhanced access and reach their own healthcare provider directly, 24 hours a day (Concierge medicine allows for 24/7 access to physicians. [Fact: 1, 2, 3]), rather than a triage line. Because the panel is small, the same physician can better focus on the relationship across years.

Does concierge medicine actually improve health outcomes?

No practice can guarantee an outcome, and there is no randomized trial showing that concierge membership itself extends life. What the evidence supports is the underlying mechanism. A systematic review in BMJ Open reported findings that 18 of 22 studies (81.8%) found statistically significant reductions in mortality associated with greater continuity of care with a doctor (DOI: 10.1136/bmjopen-2017-021161). This evidence is observational, so it demonstrates association rather than causation.

Does concierge medicine replace my health insurance?

No. Concierge membership runs alongside your existing health plan and does not replace it (Concierge medicine does not typically replace health insurance for major medical services. [Fact: 1]), and insurers do not accept the membership fee as a covered benefit. You keep insurance for specialist care, imaging, hospitalization, surgery, and prescriptions. Membership fees are not reimbursed by commercial insurers and are not covered by Medicare. Standard covered services such as laboratory testing may still be billed to your insurer separately from membership.

How much does concierge medicine cost in Coral Gables?

Fees in South Florida vary widely by practice, and some may charge a recurring monthly fee while others use a flat annual fee (Concierge medicine membership fees are typically annual or monthly. [Fact: 1]), depending on panel size and whether comprehensive diagnostics are included in the membership or billed separately. PURE’s membership bundles comprehensive care around the annual executive health assessment and 24/7 physician access; the fee is reviewed in a private consultation. Our published guide to concierge medicine costs in Miami explains how to compare offers on a like-for-like basis.

Can I get a same-day appointment?

Yes. Same day appointments and next-day visits are a core commitment of membership (Patients in concierge medicine enjoy same-day appointments and shorter wait times. [Fact: 1, 2]), alongside direct physician access by phone and text. Because panels are capped, same-day availability does not depend on cancellations.

Do you offer house calls in Coral Gables?

Yes. House calls are available to members across Coral Gables, Coconut Grove, Brickell, Key Biscayne, Fisher Island, Miami Beach, Pinecrest, and South Miami when a home visit is clinically appropriate.

How do I become a member?

Membership is application-based in order to hold panel size at the level the model requires and ensure each person receives individualized attention. The process begins with a private consultation covering your medical history, what you expect from the relationship, and the scope of the diagnostic program, including any executive health program needs for busy executives. Call 786-227-6811 or contact us to arrange it, and to see if it’s the right fit to help you thrive long term.

This page is for educational purposes and is not medical advice, diagnosis, or treatment, and does not create a physician-patient relationship. Clinical decisions should be made with a licensed physician who knows your history. Medically reviewed by Dr. Jennifer Miranda, MD, board-certified in Internal Medicine.