Provider Demographics
NPI:1568977643
Name:CAREAGA- HERNANDEZ, ARLEENE MARIE
Entity Type:Individual
Prefix:
First Name:ARLEENE
Middle Name:MARIE
Last Name:CAREAGA- HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12363 SW 122ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5460
Mailing Address - Country:US
Mailing Address - Phone:305-972-2690
Mailing Address - Fax:
Practice Address - Street 1:12363 SW 122ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5460
Practice Address - Country:US
Practice Address - Phone:305-972-2690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9327501363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care