Provider Demographics
NPI:1306228655
Name:VARELA, HERNAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:HERNAN
Middle Name:J
Last Name:VARELA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:HERNAN
Other - Middle Name:J
Other - Last Name:VARELA-JERALDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6280 W SAMPLE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3173
Mailing Address - Country:US
Mailing Address - Phone:561-322-3588
Mailing Address - Fax:561-322-3589
Practice Address - Street 1:1097 SW LEJEUNE ROAD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:305-442-2020
Practice Address - Fax:305-422-7354
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1079207W00000X
PR19416208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology