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. Samuel Vazquez-Agosto


Dr. Vazquez is a board certified pediatric pulmonologist, allergist and immunologist. He graduated from the University of Puerto Rico School of Medicine. He completed his residency program in pediatrics at the University Children’s Hospital in Puerto Rico. He then completed a fellowship at Louisiana State University Medical Center, Shreveport, Louisiana, in Pediatric Pulmonology, Allergy and Clinical Immunology. He then joined the medical staff at University Children’s Hospital in Puerto Rico, an academic and training institution affiliated with the University of Puerto Rico School of Medicine. In 1992 he moved to South Florida where he joined Pediatric Pulmonary and Allergy Associates. He enjoys helping patients and their families in the whole spectrum of pediatric pulmonary, allergy and immunology problems. He says, “I love children, maybe that is why I have such a big family.” Dr Vazquez 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.