Individual provider · Type 1 NPI
Luis Fernandez
Specialist · Bogota, NJ
NPI number
1326814435
Active
Practice location
45 Cypress Ave
Bogota, NJ 07603-1801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1326814435
Luis Fernandez's National Provider Identifier is 1326814435, issued on Nov 29, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bogota, NJ. The record was last updated on Jan 7, 2024.