MEDICARE: ARACELYS HERNANDEZ MIARABAL CBHCM, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	CBHCM103376	FL
2	363A00000X	Physician Assistant	2581	PR

General Provider Information

NPI Number	:	1083370902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARACELYS HERNANDEZ MIARABAL CBHCM, PA

Provider Business Mailing Address
First Line	:	5741 W 20TH CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-2661
Country	:	US
Telephone Number	:	786-468-3317
Fax Number	:

Provider Business Practice Location Address
First Line	:	5741 W 20TH CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-2661
Country	:	US
Telephone Number	:	786-468-3317
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2021
Last Update Date	:	07/15/2025

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