Healthcare Provider Details

I. General information

NPI: 1346311487
Provider Name (Legal Business Name): SALMA HERNANDEZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2006
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

19941 SW 82ND PL
MIAMI FL
33189-2001
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-8508
  • Fax:
Mailing address:
  • Phone: 305-431-1972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberARNP9193568
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9193568
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: