Provider Demographics
NPI:1942711445
Name:HERNANDEZ ECHEVARRIA, MARIA E (APRN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:HERNANDEZ ECHEVARRIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14901 SW 169TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1749
Mailing Address - Country:US
Mailing Address - Phone:305-788-2242
Mailing Address - Fax:
Practice Address - Street 1:50 NW 15TH ST STE 101
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4267
Practice Address - Country:US
Practice Address - Phone:305-786-8861
Practice Address - Fax:786-377-9629
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
FLAPRN11008286363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician