MEDICARE: ALONDRA 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	2355S0801X	Speech-Language Assistant	SI4414	FL

General Provider Information

NPI Number	:	1285454488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALONDRA FERNANDEZ

Provider Business Mailing Address
First Line	:	18768 SW 47TH ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-6219
Country	:	US
Telephone Number	:	954-648-5631
Fax Number	:

Provider Business Practice Location Address
First Line	:	7335 NW 173RD DR
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-8473
Country	:	US
Telephone Number	:	786-302-8778
Fax Number	:

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

Provider Enumeration Date	:	10/12/2024
Last Update Date	:	10/12/2024

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Directions to “ ALONDRA FERNANDEZ ” Practice Location

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