Healthcare Provider Details

I. General information

NPI: 1003745886
Provider Name (Legal Business Name): SARA HERNANDEZ MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 SW 131ST AVE
MIAMI FL
33183-3460
US

IV. Provider business mailing address

7220 SW 131ST AVE
MIAMI FL
33183-3460
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-2774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9602900
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: