Provider Demographics
NPI:1326811704
Name:FERNANDEZ RAMOS, YAYSEL DE LA CARIDAD
Entity Type:Individual
Prefix:
First Name:YAYSEL
Middle Name:DE LA CARIDAD
Last Name:FERNANDEZ RAMOS
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 1:26971 SW 134TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7794
Mailing Address - Country:US
Mailing Address - Phone:786-280-5440
Mailing Address - Fax:
Practice Address - Street 1:26971 SW 134TH PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7794
Practice Address - Country:US
Practice Address - Phone:786-280-5440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician