MEDICARE: ADRIANA FERNANDEZ HERNANDEZ

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	163W00000X	Registered Nurse	RN9518193	FL
2	367500000X	Certified Registered Nurse Anesthetist	40238	TN

General Provider Information

NPI Number	:	1902505530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA FERNANDEZ HERNANDEZ

Provider Business Mailing Address
First Line	:	6960 NW 186TH ST APT 2-118
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-3203
Country	:	US
Telephone Number	:	786-566-9060
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 N 33RD CT
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6912
Country	:	US
Telephone Number	:	305-899-3230
Fax Number	:

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

Provider Enumeration Date	:	03/02/2023
Last Update Date	:	12/08/2025

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