Provider Demographics
NPI:1891239331
Name:HERNANDEZ-MARTINEZ, YOEL
Entity Type:Individual
Prefix:
First Name:YOEL
Middle Name:
Last Name:HERNANDEZ-MARTINEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5076 S RAINBOW BLVD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1179
Mailing Address - Country:US
Mailing Address - Phone:702-517-7479
Mailing Address - Fax:
Practice Address - Street 1:5076 S RAINBOW BLVD UNIT 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-1179
Practice Address - Country:US
Practice Address - Phone:702-517-7479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor