Provider Demographics
NPI:1437604295
Name:RAMOS FERNANDEZ, DALYANA (BS)
Entity Type:Individual
Prefix:
First Name:DALYANA
Middle Name:
Last Name:RAMOS FERNANDEZ
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 CARRICKTON CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4227
Mailing Address - Country:US
Mailing Address - Phone:407-790-5193
Mailing Address - Fax:
Practice Address - Street 1:2766 CARRICKTON CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-4230
Practice Address - Country:US
Practice Address - Phone:407-790-5193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator