DR. ENRIQUE HANABERGH JR. (NPI# 1760617716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760617716 |
Entity Type | Individual |
Full Name | DR. ENRIQUE HANABERGH JR. |
Credential | M.D. |
Practice Address |
21097 Ne 27th Ct Suite 210 Aventura FL 33180-1204 |
Mailing Address |
1830 S Ocean Dr Apt. 3209 Hallandale Beach FL 33009-7696 |
Practice Telephone | 3053289557 |
Practice Fax Number | 8557607770 |
Mailing Telephone | 3053102799 |
Enumeration Date | 2009-05-20 |
Last Update Date | 2011-08-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | ME 104210 | FL | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | ME 104210 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821087156 | Enrique Hanabergh | Internal Medicine | 21110 Biscayne Blvd, Suite #206, Aventura, FL 33180-1227 | 2005-10-19 |
Street Address |
21097 NE 27TH CT SUITE 210 |
City | AVENTURA |
State | FL |
Zip Code | 33180-1204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538162466 | Gary R Donshik | Internal Medicine | 21097 Ne 27th Ct, Suite 320, Aventura, FL 33180-1204 | 2005-05-24 |
1598257503 | Emerald Multispecialty Pa | Family Medicine | 21097 Ne 27th Ct, Aventura, FL 33180-1204 | 2018-06-05 |
1104370394 | Reynier Avon | Nurse Practitioner | 21097 Ne 27th Ct, Suite 480, Aventura, FL 33180-1204 | 2016-08-05 |
1639522519 | Jill Collum | Physical Therapist | 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180-1204 | 2016-07-15 |
1083061220 | Aventura Hospital & Medical Center | Student in an Organized Health Care Education/Training Program | 21097 Ne 27th Ct, Suite 480, Aventura, FL 33180-1204 | 2016-05-18 |
1508230921 | Itzamarie Cintron | Nurse Practitioner | 21097 Ne 27th Ct, Suite 350, Aventura, FL 33180-1204 | 2015-11-23 |
1083082796 | Catalina Galvis | Physician Assistant | 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180-1204 | 2015-09-11 |
1578946075 | Sofia Intriago | Nurse Practitioner | 21097 Ne 27th Ct, Suite 580, Aventura, FL 33180-1204 | 2015-07-01 |
1215320007 | Michael J Braun Md LLC | Internal Medicine | 21097 Ne 27th Ct, Suite 110, Aventura, FL 33180-1204 | 2015-03-18 |
1053704767 | Michael J Braun Md LLC | Internal Medicine | 21097 Ne 27th Ct, Suite 110, Aventura, FL 33180-1204 | 2015-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
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Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003974528 | Robert Keith Fabric | Plastic Surgery | 3000 Island Blvd, S-323, Aventura, FL 33160-4923 | 2006-12-05 |
1013013127 | Sam Gershenbaum | Plastic Surgery | 2954 Aventura Blvd # B, Aventura, FL 33180-3103 | 2006-09-15 |
1740204130 | Andrew P Amunategui | Plastic Surgery | 21355 E Dixie Hwy Ste 109, Aventura, FL 33180-1239 | 2006-07-27 |
1831139112 | Jay David Ellenby | Plastic Surgery | 2954 B Aventura Blvd, Aventura, FL 33180-3102 | 2006-06-07 |
1356764864 | Juvenation, LLC | Plastic Surgery | 18205 Biscayne Blvd, Ste 100, Aventura, FL 33160-2106 | 2014-02-04 |
1063835411 | Rejuvenescence LLC | Plastic Surgery | 18205 Biscayne Blvd, Ste 100, Aventura, FL 33160-2106 | 2014-01-21 |
1326311762 | Michael D. Storch, Md, Pa | Plastic Surgery | 21110 Biscayne Blvd, 103, Aventura, FL 33180-1227 | 2012-02-15 |
1316225030 | Enrique Hanabergh Jr., M.d., P.a. | Plastic Surgery | 21097 Ne 27th Ct, Suite 210, Aventura, FL 33180-1204 | 2011-07-29 |
1194021345 | Tanya Marie Patron | Plastic Surgery | 19501 Biscayne Blvd, 1659, Aventura, FL 33180-2342 | 2011-02-07 |
1821209016 | Moises Salama | Plastic Surgery | 21097 Ne 27th Ct, Ste 335, Aventura, FL 33180-1204 | 2007-05-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.