Mercedes Deal founded Rêver Wellness, a private-pay clinic in Coral Gables that blends hormone care with skin treatments and weight care. Hormone therapy there is only available through a paid membership, and the tiers that include it also cover follow-up visits and lab work. Care starts with baseline labs and a first visit of about two hours, then labs are repeated every three months while the plan is adjusted. She prescribes bioidentical estradiol, progesterone and testosterone for women in perimenopause and menopause. She is a family nurse practitioner with extra training in functional medicine and peptide therapy, and the clinic also runs a thyroid and adrenal workup. New patients start with an intake questionnaire and a member of the team replies within a day or two.
Dr. Miranda founded PURE and runs it as medical director. It is a small concierge internal medicine practice in Coral Gables. Menopause care sits inside the practice's wider preventive work, so bone, thyroid and metabolic checks are part of the same evaluation. New patients start with a detailed health history and a large hormone and metabolic lab panel, then a physician visit to go over the results. Follow-up labs come at six weeks, twelve weeks and then every quarter, with the aim of keeping the dose as low as still works. Her colleague Dr. Sudha Lolayekar is the one the practice names as its certified menopause practitioner, and Dr. Miranda also trained in functional medicine at the University of Miami.
PRIME Institute is a small cash-pay practice in Coral Gables that Pearlman co-founded with Dr. Michelle Pearlman, a gastroenterologist. Pearlman is a urologist, and most of the practice's sexual health pages are written for men. Her women's care is genitourinary syndrome of menopause and low libido, treated with vaginal estrogen, vaginal DHEA and low-dose testosterone, plus non-hormonal drugs like flibanserin and bremelanotide. She tests vaginal pH in the office with a swab and a strip, then retests during treatment to check that the topical hormones are working. Systemic estrogen and progesterone for women is her partner's program, not hers. New out-of-state patients have to be seen in person for the first consultation. She says education is her main mission, so patients understand their own anatomy and hormones before deciding.
Prime Institute is a small Coral Gables practice that Michelle Pearlman runs with Dr. Amy Pearlman, a urologist who covers the sexual health side. Pearlman is a gastroenterologist and obesity medicine doctor who describes her own approach as food is medicine. She runs the hormone program for women and prescribes estrogen, progesterone and testosterone for perimenopause and the years after menopause. It comes with nutrition and exercise planning, body composition scans and referrals for bone density testing, with monthly follow-ups and portal messaging in between. Most of her practice is weight and metabolic care, so hormone therapy here sits inside a wider metabolic program rather than a standalone menopause visit. Both doctors are licensed only in Florida, and a new patient from out of state has to be seen in the office for the first consultation.
