Healthcare Provider Details

I. General information

NPI: 1083370902
Provider Name (Legal Business Name): ARACELYS HERNANDEZ MIARABAL CBHCM, PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5741 W 20TH CT
HIALEAH FL
33016-2661
US

IV. Provider business mailing address

5741 W 20TH CT
HIALEAH FL
33016-2661
US

V. Phone/Fax

Practice location:
  • Phone: 786-468-3317
  • Fax:
Mailing address:
  • Phone: 786-468-3317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberCBHCM103376
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2581
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: