Healthcare Provider Details

I. General information

NPI: 1760295927
Provider Name (Legal Business Name): ISABEL MARIA FERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15450 NEW BARN RD STE 220
MIAMI LAKES FL
33014-2169
US

IV. Provider business mailing address

7000 SW 62ND AVE STE 300
SOUTH MIAMI FL
33143-4719
US

V. Phone/Fax

Practice location:
  • Phone: 305-900-3970
  • Fax: 305-906-3585
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11037394
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: