Healthcare Provider Details
I. General information
NPI: 1588505887
Provider Name (Legal Business Name): MARIA ALEJANDRA FERNANDEZ CASSERES MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10425 NW 82ND ST
DORAL FL
33178-4095
US
IV. Provider business mailing address
10425 NW 82ND ST UNIT 1
DORAL FL
33178-4096
US
V. Phone/Fax
- Phone: 786-670-3294
- Fax:
- Phone: 786-670-3294
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: