Provider Demographics
NPI:1780552042
Name:BERNARDEZ, NILA T
Entity type:Individual
Prefix:MISS
First Name:NILA
Middle Name:T
Last Name:BERNARDEZ
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 1:12955 BISCAYNE BLVD STE 386
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2037
Mailing Address - Country:US
Mailing Address - Phone:645-243-9222
Mailing Address - Fax:
Practice Address - Street 1:12955 BISCAYNE BLVD STE 386
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2037
Practice Address - Country:US
Practice Address - Phone:645-243-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care