Healthcare Provider Details

I. General information

NPI: 1033172580
Provider Name (Legal Business Name): RICARDO ISRAEL GERENSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 IVES DAIRY RD STE 228
NORTH MIAMI BEACH FL
33179-2538
US

IV. Provider business mailing address

1031 IVES DAIRY RD STE 228
MIAMI FL
33179-2538
US

V. Phone/Fax

Practice location:
  • Phone: 305-467-6101
  • Fax: 786-228-4644
Mailing address:
  • Phone: 305-467-6101
  • Fax: 786-228-4644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME0081212
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: