Provider Demographics
NPI:1700198637
Name:FERNANDEZ, DANIELA ANDREA (MS)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:ANDREA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 NW 107TH AVE APT 1404
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4937
Mailing Address - Country:US
Mailing Address - Phone:305-398-6100
Mailing Address - Fax:305-757-4465
Practice Address - Street 1:5600 NW 107TH AVE APT 1404
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4937
Practice Address - Country:US
Practice Address - Phone:305-457-6372
Practice Address - Fax:786-293-9594
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health