Provider Demographics
NPI:1013393925
Name:HERNANDEZ, YEILIN C
Entity Type:Individual
Prefix:MRS
First Name:YEILIN
Middle Name:C
Last Name:HERNANDEZ
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 1:7 URB VISTA VERDE
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-3306
Mailing Address - Country:US
Mailing Address - Phone:787-903-0124
Mailing Address - Fax:
Practice Address - Street 1:1141 AVENIDA MIRAMAR
Practice Address - Street 2:CARR. 2 KM 79.4
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-817-0597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR--40802355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR74005096OtherMEDICAL MALPRACTICE