Provider Demographics
NPI:1457118010
Name:RAMOS FERNANDEZ, DANAY
Entity Type:Individual
Prefix:
First Name:DANAY
Middle Name:
Last Name:RAMOS 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 1:1655 W 44TH PL APT 232
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7421
Mailing Address - Country:US
Mailing Address - Phone:786-979-6225
Mailing Address - Fax:
Practice Address - Street 1:1655 W 44TH PL APT 232
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7421
Practice Address - Country:US
Practice Address - Phone:786-979-6225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-326929106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty