# FERNANDEZ MENTAL HEALTH CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083209084
- **Authorized official:** MARYENIS FERNANDEZ RIVERA (ADMINISTRATOR)
- **Authorized official phone:** (786) 314-0535

## Contact information

- **Practice address:** 11820 MIRAMAR PKWY STE 310, MIRAMAR, FL 33025-5820
- **Practice address phone:** (786) 314-0535
- **Mailing address:** 11820 MIRAMAR PKWY STE 310, MIRAMAR, FL 33025-5820
- **Mailing address phone:** (786) 314-0535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 07/02/2021