Provider Demographics
NPI:1972784973
Name:FERNANDEZ, ARAMIS (ARNP)
Entity Type:Individual
Prefix:MR
First Name:ARAMIS
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10765 SW 108TH AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8103
Mailing Address - Country:US
Mailing Address - Phone:786-278-0032
Mailing Address - Fax:
Practice Address - Street 1:3421 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3632
Practice Address - Country:US
Practice Address - Phone:786-536-2658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9228790363LA2200X, 363LA2200X
FLARNP 9228790156FX1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No156FX1101XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000060900Medicaid
FL000060900Medicaid