MEDICARE: CARLOS HERNANDEZ NP

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	363LA2100X	Acute Care Nurse Practitioner	17431-33	WI
2	363LA2100X	Acute Care Nurse Practitioner	11019178	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942943923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS HERNANDEZ NP

Provider Business Mailing Address
First Line	:	11128 W 32ND LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-2186
Country	:	US
Telephone Number	:	786-393-3463
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 SW 73RD ST
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4679
Country	:	US
Telephone Number	:	786-662-4000
Fax Number	:

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

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	01/06/2026

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Directions to “ CARLOS HERNANDEZ NP” Practice Location

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