Provider Demographics
NPI:1861501439
Name:FERNANDEZ, SILVIA FAURA (PT)
Entity Type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:FAURA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 ALTON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2027
Mailing Address - Country:US
Mailing Address - Phone:195-429-2686
Mailing Address - Fax:
Practice Address - Street 1:1201NW 16 STREET
Practice Address - Street 2:
Practice Address - City:MIAMI ,FLA 33125
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-575-3498
Practice Address - Fax:305-575-3415
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4642225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist