# INTERCARIBBEAN MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124551320
- **Authorized official:** RODOLFO HANABERGH MD (PRESIDENT)
- **Authorized official phone:** (786) 609-8316

## Contact information

- **Practice address:** 3850 SW 87TH AVE, STE 305A, MIAMI, FL 33165-5400
- **Practice address phone:** (786) 609-8316
- **Practice address fax:** (305) 468-6367
- **Mailing address:** 3850 SW 87TH AVE, STE 305A, MIAMI, FL 33165-5400
- **Mailing address phone:** (786) 609-8316
- **Mailing address fax:** (305) 468-6367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2017
- **Last updated:** 04/05/2017