Individual provider Active NPI

Maribel Jacobo Hernandez, APRN

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1689221822
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09220993 Issued in FL
Practice address
2510 NE 41St Ave
Homestead, FL 33033-5121
Phone
(786) 368-4327
NPI assigned
Aug 22, 2019
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09220993 FL Primary

Addresses

Primary practice location

2510 NE 41St Ave
Homestead, FL 33033-5121

Mailing address

2510 NE 41St Ave
Homestead, FL 33033-5121
Phone (786) 368-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240607001037 FL Practitioner - Nurse Practitioner 7113469966 Reassigns benefits to 1 organization
I20250707002431 TX Practitioner - Nurse Practitioner 7113469966 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09220993FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Reef Medical Institute, LLC CurrentSince Mar 17, 2025 Accepting new patients
Sagrada Familia LLC Family CurrentSince Jun 29, 2025 Accepting new patients
Ocean Reef Medical Institute, LLC CurrentSince Mar 17, 2025 Accepting new patients
Clinica Hispana Eben-Ezer LLC Family CurrentSince Jun 1, 2025 Accepting new patients
Clinica Hispana North Richland Hills LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Clinica Hispana Lancaster LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

4471 NW 36th St
Ste 230
Miami Springs, FL 33166
Phone (786) 238-7335

4043 Trinity Mills Rd
Ste 103
Dallas, TX 75287
Phone (972) 707-9999

1316 Sycamore School Rd
Ste 140
Fort Worth, TX 76134
Phone (817) 238-3191

3250 W Pleasant Run Rd
Ste 160
Lancaster, TX 75146
Phone (469) 747-3005

101 E Corporate Dr
Ste 140
Lewisville, TX 75067
Phone (469) 968-8031

6601 Boulevard 26
Ste 102
North Richland Hills, TX 76180
Phone (682) 626-5369

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1689221822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 NE 41ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335121",
            "telephone_number": "786-368-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 NE 41ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335121",
            "telephone_number": "786-368-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBO HERNANDEZ",
        "first_name": "MARIBEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F09220993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.