Provider Demographics
NPI:1881832137
Name:HERNANDEZ, JASMINE GISELLE (BILLING SPECIALIST)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:GISELLE
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:BILLING SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 832380
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33283-2380
Mailing Address - Country:US
Mailing Address - Phone:786-360-6064
Mailing Address - Fax:786-360-6064
Practice Address - Street 1:7059 SW 115TH PL
Practice Address - Street 2:SUITE D
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1874
Practice Address - Country:US
Practice Address - Phone:786-360-6064
Practice Address - Fax:786-360-6064
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-24
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLG09019900191171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor