Why Dr. Julio A. Nieto?

I’m a Board-certified doc practicing since 2018, not an NP with zero residency training. Residency is where doctors train after medical school to learn their specialty, it’s about 3-7 years working 80-hour weeks in a hospital.
Everyone gets direct access to me and we can talk once a week if you’d like to see how you are doing & answer your questions.
What is Direct Primary Care?
Direct Primary Care (DPC) is transforming the healthcare landscape by offering a membership-based healthcare model that prioritizes patient care over insurance protocols. For a monthly fee ranging starting at only $200 patients enjoy unparalleled access to their healthcare providers, bypassing the traditional complexities of insurance billing.

Unlimited Access
Patients enjoy unrestricted access to their healthcare providers, ensuring they can receive care whenever it is needed without the constraints of standard office hours.
Comprehensive Care
DPC focuses on preventive care, aiming to maintain and improve health through ongoing health management rather than just treating illness.
Our services
Built to support your health, energy, and peace of mind.
Don’t just take our word for it
We put our patients first — and they love us for it.
“Helped me get my energy back.”
After starting TRT with Dr. Nieto, I feel like myself again—more energy, better sleep, and just sharper all around. The personalized approach really makes a difference.

David Mark
Patient
“I finally feel like I have a doctor who actually listens.”
I used to dread going to the doctor, but with Dr. Nieto, I feel heard and cared for. I can text or call anytime, and I always get seen quickly. It’s a totally different (and better) experience.

Marissa Golden
Patient
“The monthly fee is so worth it.”
No surprise bills, no insurance headaches—just real care when I need it. I’ve gotten more help here in 3 months than I did in years at my old clinic.

Jason T.
Patient
Frequently Asked Questions
We’ve got answers.

What are the eligibility criteria for Direct Primary Care?
Direct Primary Care (DPC) is available to individuals of all ages and health backgrounds. There are no specific eligibility criteria related to pre-existing conditions, making it accessible to anyone interested in a more personalized approach to healthcare. The main requirement is the payment of a monthly fee, which covers most primary care services. This model is ideal for those seeking more time with their doctor and a focus on preventive care.
How are HRT and TRT dosages determined?
Hormone Replacement Therapy (HRT) and Testosterone Replacement Therapy (TRT) dosages are carefully individualized. With Dr Nieto, treatment begins with a thorough evaluation of bloodwork, medical history, and current symptoms. Dosages are then prescribed to restore hormones to optimal, balanced levels, not just the minimum normal range. Ongoing lab monitoring and regular follow-ups ensure your therapy remains safe and effective, with adjustments made as needed.
How quickly can I see results with peptide therapy?
Results with peptide therapy vary depending on the type of peptide and your individual goals. Many patients notice improvements in sleep quality, recovery, and energy within a few weeks, while changes in muscle composition, fat loss, or skin health may take several months of consistent treatment. With Dr Nieto, your progress is closely monitored to ensure you’re on track and experiencing the intended benefits.
What are the main benefits of Concierge Medicine?
Concierge Medicine with Dr Nieto gives you direct, personalized access to your provider. Instead of rushed visits, you get longer appointment times, same-day or next-day scheduling, and care tailored to your unique health goals. This model also emphasizes preventive care and advanced therapies like HRT, TRT, and peptide treatments. The biggest benefit is time: more time with your doctor, more focus on prevention, and faster access when you need help.
Are consultations for Men’s Sexual Health confidential?
Yes, completely. With Dr Nieto, all consultations and treatments for Men’s Sexual Health are handled with the highest level of discretion and privacy. Your information is never shared without your consent, and visits are conducted in a respectful, professional manner. The goal is to provide a safe environment where you can openly discuss concerns and receive the right solutions without worry.
Areas We Serve
Dedicated to serving Miami, Kendall, Palmetto Bay, and beyond!
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