Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sun Grove Medical Group PLLC

Organization General Practice Physician · NPI 1003746777

Sun Grove Medical Group PLLC provides General Practice Physician services in Miami, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10339 SW 145th Ct
Miami, FL 33186-6946
Phone: (787) 565-9062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1003746777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Hernandez Canciobello — Owner · (787) 565-9062
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing addressPo Box 960183, Miami, FL 33296-0183

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