Provider Demographics
NPI:1083370902
Name:HERNANDEZ MIARABAL, ARACELYS (CBHCM)
Entity Type:Individual
Prefix:
First Name:ARACELYS
Middle Name:
Last Name:HERNANDEZ MIARABAL
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NW 1ST AVE APT 1110
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-3638
Mailing Address - Country:US
Mailing Address - Phone:786-468-3317
Mailing Address - Fax:
Practice Address - Street 1:1000 NW 1ST AVE APT 1110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-3638
Practice Address - Country:US
Practice Address - Phone:786-468-3317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM103376171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator