Healthcare Provider Details

I. General information

NPI: 1740946821
Provider Name (Legal Business Name): ADRIANA CECILIA FAHMY-ARIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADRIANA FAHMY

II. Dates (important events)

Enumeration Date: 11/12/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 S DOUGLAS RD
CORAL GABLES FL
33134-6914
US

IV. Provider business mailing address

9420 SW 124TH CT
MIAMI FL
33186-1856
US

V. Phone/Fax

Practice location:
  • Phone: 305-441-6833
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9409943
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11016544
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberAPRN11016544
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: