Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miviala Lago Fernandez

Individual provider Surgical Assistant · NPI 1497207021

Miviala Lago Fernandez is a Surgical Assistant in Ft Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
Specialties on file
2

Practice location Address checks out

5310 SW 26th Ter
Ft Lauderdale, FL 33312-7461
Phone: (786) 857-3777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-403625 (FL)
Surgical Assistant Taxonomy 246ZC0007X · Licence 16651 (FL)

Record details

NPI number1497207021
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 31, 2016
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

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