Our Philosophy
Since our founding in 1948, we have established a reputation for providing outstanding healthcare. Our highest priorities include:
- Exceptional responsiveness and availability, including attending our patients in the hospital and at home, and returning your calls!
- Maintaining credentials and continuing medical education to assure that our patients receive the most up-to-date care and advice.
- Seeking out and embracing new technologies that enhance patient care while avoiding those of dubious value.
- Developing and nurturing an expert and attentive staff.
Our vision of comprehensive care extends beyond our walls. We have developed a carefully chosen network of consulting sub-specialists. Our role as patient advocate includes oversight and coordination of consultants as well as representation of our patients' interests with hospitals and insurers.
Our Team

Robert Cava, MD, FACP, FACR
Robert Cava, MD, FACP, FACR, has been practicing medicine in the community since 1982. A graduate of Brown University's School of Medicine and Emory University’s residency training program, Dr. Cava is dedicated to providing an exceptional level of healthcare. His practice is known for bringing cutting edge medicine to patients in a supportive, caring environment.A clinical assistant professor at the University of Miami School of Medicine, Dr. Cava is a Fellow of the American College of Rheumatology. He is board certified in Hospice and Palliative Care and re-certified in Internal Medicine, Critical Care and Geriatrics.
Dr. Cava is committed to continuing his medical education to assure patients receive the most up-to-date care and advice. He has been recognized by NCQA for delivering quality cardiovascular/stroke care and diabetes.
His mission is to serve as his patients’ advocate and adviser in the most compassionate manner possible. He started Miami Medical Consultants to provide the meaningful, one-on-one medical care he feels his patients deserve.

Jacqueline Miodownik-Aisenberg, MD, PhD
Dr. Miodownik-Aisenberg has been practicing Internal Medicine since 2000. Before that, she started her career as a scientist in the field of Physics/Biophysics, getting her doctorate in Physiology and Biophysics in 1995.Dr. Miodownik-Aisenberg has been named America’s Top Physician by the Consumers’ Research Council of America and was awarded the National Award for Excellence in Research by the American Medical Association in relation to her research work on neural and muscle ion channels.
While working as a bench scientist, she discovered that she could not fulfill her drive to directly interact with people and affect their lives in a positive, immediate way. That realization brought her to practice medicine. As a wife, mother and physician, Dr. Miodownik-Aisenberg understands firsthand the challenges brought on from living a busy life and the impact that this can have on wellness and health.
Miami Medical Consultants is further enriched by Dr. Miodownik-Aisenberg’s particular interest in changing lifestyle to prevent illness, promote wellness, and address health issues related to aging. She loves teaching and has done so for 20 years.
She shares our vision and is committed to the highest ethical standards, including avoidance of all conflict, apparent and actual, with our goal of patient advocacy.

Gloria Nuñez-Turkel
Gloria Nuñez-Turkel, ARNP, NP-C, FNP-BC, has spent her entire professional career working to improve people’s health and quality of life.Gloria received her baccalaureate degree in nursing from the University of Miami and worked as a cardiac and neuro-intensive care nurse. Then she joined Vitas where she worked as a hospice home health care nurse.
Returning to school, Gloria earned her master’s degree in nursing, with a specialty in family health at Florida International University (FIU).
She is certified in family health by the American Academy of Nurse Practitioners (AANP), the American Nurse Credentialing Center (AANC), and is an inductee in the American Association of Colleges of Nursing (AACN).
Gloria joined Miami Medical Consultants in January of 2011 and is committed to our mission of providing optimal patient care.

Patricia Arosemena-Romero
Patty is a native of Panama, who joined our practice in 1990 at the ripe old age of 17. She comes from a large family and has grown into the role of Practice Administrator, otherwise known as “La Jefa.”She received a bachelor’s degree in Business Administration from Florida International University (FIU).
Patty was instrumental in transitioning MMC into one of the first retainer-based medical practices in the country and has helped several other practices do the same. Through the many challenges of managing a busy medical office, Patty has succeeded in creating a culture that continually aspires to excellence in patient service. One of her patients once commented, “Patty runs a well-oiled machine.”
She is happily married to husband, Ronnie, and has two beautiful girls, Rebekah and Rachel.

Susana Agurcia
Susana first joined the practice in 1995 and is currently the office Medical Assistant.Her patients lovingly call her “La Vampira” because of her amazing knack for pain-free blood draws. One of her patients was quoted as saying, “I wish I could travel around with Susana with me so she could draw my blood whenever I need to.”
Susana has an amazing memory for details and is the official office “navigator.” Susi is compassionate and very involved in her patient’s care.
She is involved in many projects through her church and is an accomplished gourmet cook.

Megan Fickle
Megan joined our practice in 2008 as an Administrative Assistant. Her skills with computers and people, and her character traits of caring and persistence combine to create a formidable problem solver for our patients.She is an avid reader and an equestrienne (her horse’s name is Gem). In her spare time Megan enjoys trail rides, a good read and country music.

Miriam Yruretagoyena-Anderez
Miriam is our resident Diva and has been serenading our patients for more than 37 years. She was hired by our practice’s founder, Edward E. Cava, MD in May of 1978 (she jokes that she was age 2 at the time).Over time, she has come to know her patients very well.
“You learn a thing or two and meet many helpful people in 37 years in the medical field,” she says.
Miriam navigates the healthcare world with ease, and her warm heart and soothing demeanor make her an indispensable team member at MMC. She has a gift for accents and languages (she speaks English, Spanish and Portuguese).
Give her a challenge and ask her to impersonate your favorite celebrity: you’ll be in for a treat. Her last name may be a tongue twister but it sure is fun to try to say. Miriam is married, has two grown children and two grandchildren who are the light of her life. She has a special interest in children’s issues and in promoting literacy in her community. She enjoys playing with her grandchildren, reading, sewing and sailing with friends.