Healthcare Provider Details

I. General information

NPI: 1922686799
Provider Name (Legal Business Name): MARAIDA LYNN SERRANT HERNANDEZ MD, MHA, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

IV. Provider business mailing address

650 CALLE CECILIANA APT 704
SAN JUAN PR
00926-7469
US

V. Phone/Fax

Practice location:
  • Phone: 800-432-6837
  • Fax:
Mailing address:
  • Phone: 787-226-1106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number43658
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: