Maricela Dianexi Fardales in Hialeah - Medical

Maricela Dianexi Fardales - NPI 1457362410

Maricela Dianexi Fardales is a Medical in Hialeah, Florida. Maricela Dianexi Fardales practices all healthcare services and medical treatments related to Medical. The NPI Number for Maricela Dianexi Fardales is 1457362410. The last update date is 2021-07-13.

Maricela Dianexi Fardales's current location address is 8051 W 24th Ave Ste 9, Hialeah, Florida. You can contact this provider via phone number 3054009702 and fax number 3057357542. The mailing address for Maricela Dianexi Fardales is 8051 W 24th Ave Ste 9, Hialeah, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Maricela Dianexi Fardales
Address 8051 W 24th Ave Ste 9, Hialeah, Florida
Phone Number 3054009702
Fax Number 3057357542
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1457362410
Provider Enumeration Date 2006-08-11
Last Updated Date 2021-07-13

Provider Mailing Address Detail

Address 8051 W 24th Ave Ste 9
City Hialeah
State Florida (FL)
Post Code 330165596
Phone Number 3054009702
Fax Number 3057357542

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA9103093
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4570500 FL --

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FAQs about Maricela Dianexi Fardales

What is the unique 10-digit identifier code assigned to Maricela Dianexi Fardales by the Centers for Medicare & Medicaid Services?

The Maricela Dianexi Fardales has been issued the NPI (National Provider Identifier) 1457362410 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Maricela Dianexi Fardales's facilities are situated?

The facilities of Maricela Dianexi Fardales are physically located at the following address: 8051 W 24Th Ave Ste 9, Hialeah, FL, 330165596.

What is Maricela Dianexi Fardales's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Maricela Dianexi Fardales's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457362410 to Maricela Dianexi Fardales?

The Centers for Medicare & Medicaid Services originally issued the 1457362410 to Maricela Dianexi Fardales on 2006-08-11.

As of what date were the details related to Maricela Dianexi Fardales most recently updated or revised?

The information pertaining to Maricela Dianexi Fardales, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-13.

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