Provider Demographics
NPI:1881409464
Name:HERNANDEZ, GABRIEL A (APRN)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:A
Last Name:HERNANDEZ
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8942 W 35TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1874
Mailing Address - Country:US
Mailing Address - Phone:786-234-5824
Mailing Address - Fax:
Practice Address - Street 1:8942 W 35TH CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-1874
Practice Address - Country:US
Practice Address - Phone:786-234-5824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily