Healthcare Provider Details

I. General information

NPI: 1225960669
Provider Name (Legal Business Name): DAMSEL HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 W 49TH ST STE 732-733
HIALEAH FL
33012-2942
US

IV. Provider business mailing address

1840 W 49TH ST STE 732-733
HIALEAH FL
33012-2942
US

V. Phone/Fax

Practice location:
  • Phone: 786-718-7874
  • Fax:
Mailing address:
  • Phone: 786-718-7874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DAMISELA FERNANDEZ CRUZ
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-718-7874