MEDICARE: RICARDO ISRAEL GERENSTEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME0081212	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033172580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO ISRAEL GERENSTEIN M.D.

Provider Business Mailing Address
First Line	:	1031 IVES DAIRY RD STE 228
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-2538
Country	:	US
Telephone Number	:	305-467-6101
Fax Number	:	786-228-4644

Provider Business Practice Location Address
First Line	:	1031 IVES DAIRY RD STE 228
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-2538
Country	:	US
Telephone Number	:	305-467-6101
Fax Number	:	786-228-4644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	10/05/2025

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