Provider Demographics
NPI:1235019480
Name:FERNANDEZ QUESADA, JANET ADRIANA
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ADRIANA
Last Name:FERNANDEZ QUESADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 S DOUGLAS RD APT 3
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3443
Mailing Address - Country:US
Mailing Address - Phone:786-970-6211
Mailing Address - Fax:
Practice Address - Street 1:1206 S DOUGLAS RD APT 3
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3443
Practice Address - Country:US
Practice Address - Phone:786-970-6211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11042075363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily