Healthcare Provider Details

I. General information

NPI: 1366656381
Provider Name (Legal Business Name): SILREY HERNANDEZ MSN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NW 95TH ST
MIAMI FL
33150-2038
US

IV. Provider business mailing address

20335 SW 132ND AVE
MIAMI FL
33177-6100
US

V. Phone/Fax

Practice location:
  • Phone: 305-835-6000
  • Fax:
Mailing address:
  • Phone: 786-368-5592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9329474
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: