MEDICARE: HILDA MARIA FERNANDEZ CALANA CBHCMS

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	171M00000X	Case Manager/Care Coordinator
2	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467912121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILDA MARIA FERNANDEZ CALANA CBHCMS

Provider Business Mailing Address
First Line	:	3908 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4105
Country	:	US
Telephone Number	:	305-400-8904
Fax Number	:	786-703-3924

Provider Business Practice Location Address
First Line	:	3908 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4105
Country	:	US
Telephone Number	:	786-564-7180
Fax Number	:	786-703-3924

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

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	09/20/2023

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Directions to “ HILDA MARIA FERNANDEZ CALANA CBHCMS” Practice Location

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