MEDICARE: MONICA FERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach
2	261QX0200X	Oncology Clinic/Center
3	225700000X	Massage Therapist	64928	FL

General Provider Information

NPI Number	:	1437989100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA FERNANDEZ

Provider Business Mailing Address
First Line	:	9970 MARLIN RD
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-8651
Country	:	US
Telephone Number	:	786-217-2402
Fax Number	:

Provider Business Practice Location Address
First Line	:	8867 SW 132ND ST STE 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-5926
Country	:	US
Telephone Number	:	786-217-2402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2024
Last Update Date	:	08/06/2024

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Directions to “ MONICA FERNANDEZ ” Practice Location

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