Provider Demographics
NPI:1467912121
Name:FERNANDEZ CALANA, HILDA MARIA (CBHCMS)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:MARIA
Last Name:FERNANDEZ CALANA
Suffix:
Gender:F
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3908 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4105
Mailing Address - Country:US
Mailing Address - Phone:305-400-8904
Mailing Address - Fax:786-703-3924
Practice Address - Street 1:3908 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4105
Practice Address - Country:US
Practice Address - Phone:786-564-7180
Practice Address - Fax:786-703-3924
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator