top of page

The Practitioners

All of our physicians are board certified. As pediatric pulmonologists and allergists they treat children with various conditions such as asthma, chronic lung disease, snoring and sleep disorders, and various allergic and immunologic conditions. Our practitioners are fellows of the American Academy of Pediatrics,  the American College of Chest Physicians, the American Academy of Allergy and Immunology  and the American Thoracic Society.





Dr. Jose A. Birriel, Jr.


Dr. Birriel is a board certified pediatric pulmonologist. He graduated from Universidad Central del Caribe in his native Puerto Rico. He completed his pediatric specialty training at Georgetown University Medical Center and sub-specialty training in pediatric pulmonary at Baylor College of Medicine in Houston, Texas. Dr. Birriel arrived in South Florida in 1985 to join the faculty of the University of Miami where he remained for five years. He moved north to practice and eventually with the help of Dr. Samuel Vazquez-Agosto and Dr. Isaac Talmaciu, created Pediatric Pulmonary and Allergy Associates.

Dr. Birriel is fluent in English and Spanish.


Dr. Isaac Talmaciu


Dr. Talmaciu is board certified in pediatric pulmonology and sleep medicine. He graduated from Universidad Central de Venezuela's medical school. He completed his pediatric residency at Montefiore Medical Center in New York and his pediatric pulmonary fellowship at St. Christopher's Hospital for Children in Philadelphia. He has worked as a pediatric pulmonologist in South Florida since 1998, the first 5 years at the University of Miami/Jackson Memorial Hospital and since 2003 at Pediatric Pulmonary and Allergy Associates. His special interests include asthma management and sleep medicine. Dr Talmaciu is fluent in English, Spanish, and Hebrew.


Dr. Melissa A Cardenas-Morales


Dr. Melissa Cardenas-Morales earned her medical degree from Florida International University Herbert Wertheim College of Medicine in Miami, Fl. She completed Pediatrics residency in 2018 and Allergy and Immunology fellowship training in 2020 at Nicklaus Children’s Hospital (formally Miami Children’s Hospital). She is board certified in both Pediatrics and Allergy/Immunology. Her interests include food allergies, eczema, asthma management, environmental and drug allergies, and primary immunodeficiencies. During fellowship her research focused on anaphylaxis management in the emergency department. She has recently published a review article on infant anaphylaxis and has published reviews on recent articles in pediatric allergy for the American Academy of Pediatrics synopsis chapter. She has participated in workshops teaching local physicians how to properly administer epinephrine for anaphylaxis and has also worked on a Quality Improvement project educating residents and fellows on epinephrine use for the management of anaphylaxis. As a South Florida native, Dr. Cardenas-Morales is eager to care for the patients in her community

Dr. Cardenas-Morales is fluent in English and Spanish.

bottom of page