Fernandez Mental Health Center, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FERNANDEZ MENTAL HEALTH CENTER, LLC

Practice address

11820 Miramar Pkwy Ste 310
Miramar, FL 33025-5820

Phone

(786) 314-0535

NPI assigned

Mar 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maryenis Fernandez Rivera

Title

Administrator

Phone

(786) 314-0535

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1083209084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 MIRAMAR PKWY STE 310",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255820",
            "telephone_number": "786-314-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 MIRAMAR PKWY STE 310",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255820",
            "telephone_number": "786-314-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ MENTAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ RIVERA",
        "authorized_official_first_name": "MARYENIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-314-0535"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Ferguson, LCSW
• Kelisha Ferguson
• Sarai Fernandez Alegre, APRN
• Lisheidis De la Caridad Fernandez Alvarez
• Ary Fernandez Gonzalez
• Maylen Fernandez Rodriguez
• Ana Elvy Fernandez-Cordero, DMD
• Alexandra Fernandez, COTA
• Brian Lorenzo Fernandez
• Cintia J Fernandez, RN

• Case Management Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.