Individual provider Active NPI

Miguel Angel Hernandez Varea, APRN

  • Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1619631843
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11016523 Issued in FL
Practice address
266 Palermo Ave
Coral Gables, FL 33134-6606
Phone
(786) 706-4906
NPI assigned
Oct 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11016523 FL Primary

Addresses

Primary practice location

266 Palermo Ave
Coral Gables, FL 33134-6606

Mailing address

106 Zamora Ave Apt 2
Coral Gables, FL 33134-4040
Phone (786) 804-0977

Other practice location 1

106 Zamora Ave Apt 2
Coral Gables, FL 33134-4040
Phone (786) 804-0977

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11016523FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1619631843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ZAMORA AVE APT 2",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344040",
            "telephone_number": "786-804-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 PALERMO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346606",
            "telephone_number": "786-706-4906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Zamora Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331344040",
            "country_code": "US",
            "telephone_number": "786-804-0977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ VAREA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11016523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.