Provider Demographics
NPI:1063769198
Name:FERNANDEZ SUAREZ, ISMARAY (MS)
Entity type:Individual
Prefix:
First Name:ISMARAY
Middle Name:
Last Name:FERNANDEZ SUAREZ
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13301 SW 132ND AVE UNIT 209
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6190
Mailing Address - Country:US
Mailing Address - Phone:786-713-5553
Mailing Address - Fax:
Practice Address - Street 1:13301 SW 132ND AVE UNIT 209
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186
Practice Address - Country:US
Practice Address - Phone:786-713-5553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker