Healthcare Provider Details

I. General information

NPI: 1437063138
Provider Name (Legal Business Name): ANDRES ARIAS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 SW 162ND AVE
MIAMI FL
33196-6408
US

IV. Provider business mailing address

25336 SW 107TH CT
HOMESTEAD FL
33032-6344
US

V. Phone/Fax

Practice location:
  • Phone: 786-467-2000
  • Fax:
Mailing address:
  • Phone: 305-431-9582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11051243
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: