Provider Demographics
NPI:1346954385
Name:FERNANDEZ, NASHALY MILED
Entity Type:Individual
Prefix:
First Name:NASHALY
Middle Name:MILED
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:CALLE CLAVEL BUZON 400 BUENAVENTURA
Mailing Address - Street 2:CASA 280
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8212
Mailing Address - Country:US
Mailing Address - Phone:787-385-7599
Mailing Address - Fax:
Practice Address - Street 1:47 CALLE ORQUIDEA
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3450
Practice Address - Country:US
Practice Address - Phone:787-402-5247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR74852355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant