Provider Demographics
NPI:1437957164
Name:FERNANDEZ MOLINA, MILAGRO DE LA CARIDAD (PHARMD)
Entity type:Individual
Prefix:
First Name:MILAGRO
Middle Name:DE LA CARIDAD
Last Name:FERNANDEZ MOLINA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 NW 30TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-6403
Mailing Address - Country:US
Mailing Address - Phone:786-354-7273
Mailing Address - Fax:
Practice Address - Street 1:2739 NW 30TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-6403
Practice Address - Country:US
Practice Address - Phone:786-354-7273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS68313183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty