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SUN GROVE MEDICAL GROUP PLLC
NPI 1003746777
General Practice in Miami, FL

Active since May 22, 2026
10339 SW 145TH CT, MIAMI, FL 33186(787) 565-9062 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sun Grove Medical Group Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUN GROVE MEDICAL GROUP PLLC (NPI 1003746777) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since May 2026. The organization lists Jorge Hernandez Canciobello, Owner, as its authorized official.

NPPES Registry Identity

NPI1003746777
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUN GROVE MEDICAL GROUP PLLC
Location Address10339 SW 145TH CTMiami, FL 33186-6946
Mailing AddressPo Box 960183Miami, FL 33296-0183
Phone(787) 565-9062
Organization SubpartNo
Authorized OfficialJorge Hernandez CanciobelloOwner · (787) 565-9062
Enumeration DateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1003746777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10339 SW 145TH CT, Miami, FL 33186
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sun Grove Medical Group PLLC's NPI number?

The NPI number for Sun Grove Medical Group PLLC is 1003746777. It was assigned to this organization in the NPPES registry on May 22, 2026.

Where is Sun Grove Medical Group PLLC located?

Sun Grove Medical Group PLLC is located at 10339 SW 145th Ct, Miami, FL 33186. The listed phone number is (787) 565-9062.

What is Sun Grove Medical Group PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sun Grove Medical Group PLLC was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.