Provider Demographics
NPI:1972377083
Name:FERNANDEZ HERNANDEZ, RATSIA MARIA (APRN)
Entity Type:Individual
Prefix:
First Name:RATSIA
Middle Name:MARIA
Last Name:FERNANDEZ HERNANDEZ
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 1:1155 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-3297
Mailing Address - Country:US
Mailing Address - Phone:786-805-1474
Mailing Address - Fax:
Practice Address - Street 1:1155 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-3297
Practice Address - Country:US
Practice Address - Phone:786-805-1474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029612363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily