Individual ProviderHermes NovoaNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11001 SW 143rd Ct, Miami, FL 33186-7006(786) 738-1410PECOS EnrollmentBased on the most recent information from CMS, provider Hermes Novoa 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 yesterday at 12:57 PM.Profile DetailsProvider ID1780223818Provider TypeIndividualFull NameNovoa, HermesTitleDr.CredentialDNP, CRNA, APRNGenderMaleSole ProprietorYesEnumeration Date1/7/2020Last Updated7/19/2021Contact InformationPractice LocationPractice Address11001 SW 143rd Ct, Miami, FL 33186-7006Phone(786) 738-1410FaxUnlisted FaxMailing LocationMailing Address11001 SW 143rd Ct, Miami, FL 33186-7006Phone(786) 738-1410FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11005952FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN9320977FloridaProvider IdentifiersIDDescriptionIssuerIDRN9320977DescriptionOtherIssuerSTATE OF FLORIDA DEPARTMENT OF HEALTH: RN LICENSEFloridaIDAPRN11005952DescriptionOtherIssuerAPRN LICENSEFlorida