Enrique Hanabergh Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME 104210 Issued in FL

Practice address

21097 NE 27TH CT
Suite 210
Aventura, FL 33180-1204

Phone

(305) 328-9557

Fax

(855) 760-7770

NPI assigned

May 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1760617716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S OCEAN DR",
            "address_2": "APT. 3209",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097696",
            "telephone_number": "305-310-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT",
            "address_2": "SUITE 210",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801204",
            "telephone_number": "305-328-9557",
            "fax_number": "855-760-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANABERGH",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 104210",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 104210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orestes Hadjistamoulou, DO
• Steven G Halepas Jr., MD, DMD
• Brian Hall, ARNP
• Rafat Hamdan
• Erik-Jon Hammond, DO
• Enrique Hanabergh, M.D.
• Douglas Michael Handley, O.D.
• Lavonda Ruth Hankerson
• Christopher N Hanner, MD
• Adela Haratz, DDS

• Plastic Surgery Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.