Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 25974 R | PR |
Y | 207V00000X | Obstetrician & Gynecologist | ME111842 | FL |
N | 207VX0000X | Obstetrician | ME111842 | FL |
NPI | 1205033131 |
---|---|
Provider Name | Dr. Maria E. Fernandez-Mestres |
First Address | Hallandale, FL 33009 |
Second Address | Hallandale, FL 33009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 08/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016004900 | (05) | FL |