DR. FRED GRYNBERG (NPI# 1083600803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083600803 |
| Entity Type | Individual |
| Full Name | DR. FRED GRYNBERG |
| Credential | M.D. |
| Practice Address |
1321 Nw 14th St Suite 304 Miami FL 33125-1673 |
| Mailing Address |
15680 N Kendall Dr Suite 201 Miami FL 33196-1159 |
| Practice Telephone | 3055474669 |
| Practice Fax Number | 3053247852 |
| Mailing Telephone | 3054369933 |
| Mailing Fax Number | 3054369944 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME53766 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 040636800 | 05 |
| Street Address |
1321 NW 14TH ST SUITE 304 |
| City | MIAMI |
| State | FL |
| Zip Code | 33125-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247533 | Melinda G. Shoemaker | Podiatrist | 1321 Nw 14th St, Ste 103, Miami, FL 33125-1653 | 2005-07-01 |
| 1679134290 | Bianca Maura Cuervo-rodriguez | Nurse Practitioner | 1321 Nw 14th St, Miami, FL 33125-1673 | 2019-06-25 |
| 1164875068 | Natalie Logie | Radiology | 1321 Nw 14th St, Miami, FL 33125-1673 | 2016-07-15 |
| 1871945006 | Psych Er Consultants, LLC | Psychiatry & Neurology | 1321 Nw 14th St, Suite 401 C, Miami, FL 33125-1673 | 2016-07-12 |
| 1497106934 | Silvia M. Marroquin Castillo | Physician Assistant | 1321 Nw 14th St, Suite # 202, Miami, FL 33125-1673 | 2016-06-27 |
| 1992175400 | Menthor Medical Holdings LLC | Health Maintenance Organization | 1321 Nw 14th St, Suite 603, Miami, FL 33125-1673 | 2015-09-28 |
| 1679942692 | Genesiscare Usa of Florida LLC | Urology | 1321 Nw 14th St, Suite 205, Miami, FL 33125-1673 | 2015-09-21 |
| 1861874141 | Brandon Mahal | Internal Medicine | 1321 Nw 14th St, Miami, FL 33125-1673 | 2015-06-23 |
| 1821491069 | Internal Medicine Institute of Florida, LLC | Internal Medicine | 1321 Nw 14th St, Suite 203, Miami, FL 33125-1673 | 2014-10-02 |
| 1811337546 | Derek Michael Isrow | Radiology | 1321 Nw 14th St, Miami, FL 33125 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 1295368991 | Stellar Alf II LLC | Assisted Living Facility | 3055 N.w. Flagler Terr., Miami, FL 33125 | 2020-02-20 |
| 1841773546 | Enmanuel Alejandro Iglesias | Speech-Language Pathologist | Thera-pro Care,llc 888 Nw 27 Avenue, Suite 5, Miami, FL 33125 | 2018-09-10 |
| 1588158117 | Josefina Cammarano De Casas | Behavior Technician | 720 Nw 19th Ct., Miami, FL 33125 | 2018-06-18 |
| 1861984262 | Patricia Gabbidon | Audiologist | 1201 Nw 16th St Rm 2a151, Miami, FL 33125 | 2018-05-31 |
| 1154829471 | Iviana Tamara Farinas | Nurse Practitioner | 1951 Nw 7th Street, Miami, FL 33125 | 2018-02-01 |
| 1316452634 | Dayana A Perez Del Pozo | Physical Therapy Assistant | 1422 Nw 7th Street, Marlins Park Third Base Entrance, Miami, FL 33125 | 2017-12-08 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1609398247 | Yaremi Ramirez | Behavioral Analyst | 2145 Nw 13th St, Miami, FL 33125 | 2017-07-14 |
| Find all providers in zip 33125 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356667430 | Jacky Bruce Blank | Internal Medicine | 6200 Sw 73 Street, Miami, FL 33143-7679 | 2010-04-14 |
| 1285961680 | Mehdi Mirsaeidi | Internal Medicine | 1600 Nw 10th Ave # 7060a, Miami, FL 33136-1015 | 2009-11-06 |
| 1013162213 | Lourdes Bosch Md Pa | Internal Medicine | 351 Nw Lejeune Rd Suite 406, Miami, FL 33126-5689 | 2008-12-02 |
| 1164644233 | Pulmonary Physicians Diagnostics LLC | Internal Medicine | 9035 Sunset Drive, Suite 103, Miami, FL 33176 | 2007-05-02 |
| 1104835099 | Jose M Birriel | Internal Medicine | 351 Nw 42nd Ave Ste 406, Miami, FL 33126-5689 | 2006-08-07 |
| 1194757302 | David Alfredo Orta Jr. | Internal Medicine | 7500 Sw 8 St, Suite 209, Miami, FL 33144 | 2006-07-07 |
| 1255376661 | Waddah Allaf Md Pa | Internal Medicine | 20200 W Dixie Hwy Ste 1108, Miami, FL 33180-1922 | 2006-06-19 |
| 1760426597 | Eduardo Jose Vasquez | Internal Medicine | 12905 Sw 42nd St Ste 213, Miami, FL 33175-2912 | 2006-06-15 |
| 1003894692 | Juan Luis Barrio | Internal Medicine | 9495 Sw 72nd St, Suite B210, Miami, FL 33173-3253 | 2006-01-04 |
| 1730165200 | Constantino Costarangos | Internal Medicine | 10251 Sw 72nd St, Suite A101, Miami, FL 33173-2957 | 2005-12-16 |
| Find all providers in MIAMI | ||||
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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.