MEDICARE: DR. DANIELA AMAYA FUENMAYOR DDS, MS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN30160	FL

General Provider Information

NPI Number	:	1578104006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELA AMAYA FUENMAYOR DDS, MS

Provider Business Mailing Address
First Line	:	23203 MORNING DOVE BEND LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1603
Country	:	US
Telephone Number	:	346-589-9822
Fax Number	:

Provider Business Practice Location Address
First Line	:	9955 BARKER CYPRESS RD STE 225
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-5306
Country	:	US
Telephone Number	:	281-463-6757
Fax Number	:

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

Provider Enumeration Date	:	10/07/2019
Last Update Date	:	04/15/2026

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