Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maricela Dianexi Fardales, PA

Individual provider Medical Physician Assistant · NPI 1457362410

Maricela Dianexi Fardales, PA is a Physician Assistant in Hialeah, Florida. Qualified in 2004, 22 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8051 W 24th Ave Ste 9
Hialeah, FL 33016-5596
Phone: (305) 400-9702
Fax: (305) 735-7542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103093 (FL)

Record details

NPI number1457362410
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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