Individual provider Active NPI

Faustino Hernandez Hernandez, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1831555457
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9292641 Issued in FL
Practice address
330 SW 27TH Ave Ste 306
Miami, FL 33135-2957
Phone
(305) 456-2966
Fax
(786) 409-4224
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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 ARNP9292641 FL Primary

Addresses

Primary practice location

330 SW 27TH Ave Ste 306
Miami, FL 33135-2957

Mailing address

330 SW 27TH Ave Ste 306
Miami, FL 33135-2957
Phone (305) 456-2966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001924 FL Practitioner - Nurse Practitioner 8729385927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susana Leal Khouri MD PAGroup PAC ID 5193871838, 7 clinicians

Practice addresses (Care Compare)

2750 SW 37TH Ave
FL 2
Coconut Grove, FL 33133-2764
Phone (305) 361-8200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susana Leal-Khouri, Mdpa CurrentSince Jul 30, 2019 Accepting new patients

Locations

2750 SW 37th Ave
Fl 2
Coconut Grove, FL 33133
Phone (305) 361-8200

580 Crandon Blvd
Ste 101
Key Biscayne, FL 33149
Phone (305) 361-8200

Organizations & group practices 1

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1831555457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352957",
            "telephone_number": "305-456-2966",
            "fax_number": "786-409-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352957",
            "telephone_number": "305-456-2966",
            "fax_number": "786-409-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ HERNANDEZ",
        "first_name": "FAUSTINO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9292641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.