Individual provider Active NPI

Ariel Hernandez Jr., RN

  • Psychiatric/Mental Health Registered Nurse
  • Hialeah, FL
National Provider Identifier
1417691346
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
9539738 Issued in FL
Practice address
4445 W 16TH Ave Ste 100
Hialeah, FL 33012-7192
Phone
(305) 558-8687
Fax
(305) 558-8097
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9539738 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X 9539738 FL Primary

Addresses

Primary practice location

4445 W 16TH Ave Ste 100
Hialeah, FL 33012-7192

Mailing address

6910 W 10TH Ave
Hialeah, FL 33014-5204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9539738FLMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carelink LLC Current Accepting new patients
Carevantage Medical Centers of Miami at Hialeah LLC CurrentSince May 1, 2022 Accepting new patients
Carevantage Medical Centers of Broward at Stirling Road,LLC PastSince May 1, 2022 Accepting new patients

Locations

4445 W 16th Ave
Ste 100
Hialeah, FL 33012
Phone (305) 558-8687

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1417691346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 W 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127192",
            "telephone_number": "305-558-8687",
            "fax_number": "305-558-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ARIEL",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9539738",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9539738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.