MEDICARE: DAYANA MARRERO FIDALGO

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	163W00000X	Registered Nurse	1126295	TX

General Provider Information

NPI Number	:	1033925706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYANA MARRERO FIDALGO

Provider Business Mailing Address
First Line	:	21454 VENETO HILLS CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-0400
Country	:	US
Telephone Number	:	786-448-7823
Fax Number	:

Provider Business Practice Location Address
First Line	:	10815 BEECHNUT ST STE 128
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-4491
Country	:	US
Telephone Number	:	832-288-4971
Fax Number	:

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

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	12/09/2024

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Directions to “ DAYANA MARRERO FIDALGO ” Practice Location

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