Provider Demographics
NPI:1942052410
Name:CONDE FERNANDEZ, DELIA MARIA
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:MARIA
Last Name:CONDE 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 1:3820 W 9TH WAY
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7296
Mailing Address - Country:US
Mailing Address - Phone:786-864-0177
Mailing Address - Fax:
Practice Address - Street 1:3820 W 9TH WAY
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7296
Practice Address - Country:US
Practice Address - Phone:786-864-0177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist