Sun Grove Medical Group PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUN GROVE MEDICAL GROUP PLLC

Practice address

10339 SW 145TH CT
Miami, FL 33186-6946

Phone

(787) 565-9062

NPI assigned

May 22, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jorge Hernandez Canciobello, MDNPI 1619438710

Title

Owner

Phone

(787) 565-9062

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Hernandez Canciobello, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1619438710
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1003746777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960183",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332960183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10339 SW 145TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866946",
            "telephone_number": "787-565-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN GROVE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ CANCIOBELLO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-565-9062",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun and Moon Mental Health LLC
• Sun Blue Transport
• Sun Care Services of So FL Corp
• Sun Coast Alf
• Sun Coast Village I
• Sun Health Care Inc
• Sun Medical Center Corp.
• Sun Medical Group
• Sun Medical Rehabilitation Center Inc
• Sun Pharma Corp

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.