Healthcare Provider Details

I. General information

NPI: 1851166078
Provider Name (Legal Business Name): ABEY HERNANDEZ MARIN APRN, PMHNP-BC, FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2023
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16633 SW 47TH ST
MIAMI FL
33185-5277
US

IV. Provider business mailing address

16633 SW 47TH ST
MIAMI FL
33185-5277
US

V. Phone/Fax

Practice location:
  • Phone: 305-926-2581
  • Fax:
Mailing address:
  • Phone: 305-926-2581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number88696
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11029773
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11029773
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number88696
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: