Individual ProviderTatiana Hidalgo HernandezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9333 SW 152 St, Miami, FL 33157(305) 251-2500(305) 974-5533PECOS EnrollmentBased on the most recent information from CMS, provider Tatiana Hidalgo Hernandez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073014288Provider TypeIndividualFull NameHernandez, Tatiana HidalgoCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date2/22/2018Last Updated2/11/2021Contact InformationPractice LocationPractice Address9333 SW 152 St, Miami, FL 33157Phone(305) 251-2500FaxUnlisted FaxMailing LocationMailing Address21000 NE 28th Ave Ste 104, Aventura, FL 33180Phone(305) 974-5533FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9336033Florida