NPIMap

Organization Active NPI

Enrique Hanabergh, MD

  • Non-Pharmacy Dispensing Site
  • Aventura, FL
National Provider Identifier
1922443076
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME31803 Issued in FL
Legal business name
ENRIQUE HANABERGH, MD
Practice address
21110 Biscayne Blvd
Suite 206
Aventura, FL 33180
Phone
(305) 933-2111
NPI assigned
May 2, 2013
Organization subpart
Yes
Parent organization
E. GORIN & E. HANABERGH, MD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Enrique Hanabergh, MD
Title
Physician
Phone
(305) 933-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME31803 FL Primary

Addresses

Primary practice location

21110 Biscayne Blvd
Suite 206
Aventura, FL 33180

Mailing address

21110 Biscayne Blvd
Suite 206
Aventura, FL 33180
Phone (305) 933-2111

National Provider Directory

National Provider Directory
Tax ID family
Enrique Gorin MD4 organizations share this tax ID, including this one
Part of
Enrique Gorin MD

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1922443076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE 206",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE 206",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-933-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE HANABERGH, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "E. GORIN & E. HANABERGH, MD, PA",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "HANABERGH",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-933-2111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME31803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.