Provider Demographics
NPI:1477347052
Name:MONTES DE OCA, MARIA FERNANDA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FERNANDA
Last Name:MONTES DE OCA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:FERNANDA
Other - Last Name:MONTES DE OCA DIAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11836 ARBOR ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2941
Mailing Address - Country:US
Mailing Address - Phone:402-763-6463
Mailing Address - Fax:
Practice Address - Street 1:11836 ARBOR ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2941
Practice Address - Country:US
Practice Address - Phone:402-763-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant