Healthcare Provider Details

I. General information

NPI: 1366043077
Provider Name (Legal Business Name): ARIANIA DUPEYRON HERNANDEZ PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2020
Last Update Date: 04/07/2024
Certification Date: 04/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3142 S CONGRESS AVE
PALM SPRINGS FL
33461-2552
US

IV. Provider business mailing address

3142 S CONGRESS AVE
PALM SPRINGS FL
33461-2552
US

V. Phone/Fax

Practice location:
  • Phone: 561-967-3186
  • Fax:
Mailing address:
  • Phone: 561-967-3186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberTPPA596
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number001726
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9626530
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: