Provider Demographics
NPI:1164120531
Name:FERNANDEZ, ONEIRYS
Entity Type:Individual
Prefix:
First Name:ONEIRYS
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 N FLAMINGO RD STE 110
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1027
Mailing Address - Country:US
Mailing Address - Phone:786-638-2816
Mailing Address - Fax:
Practice Address - Street 1:1806 N FLAMINGO RD STE 110
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1027
Practice Address - Country:US
Practice Address - Phone:786-638-2816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician