Provider Demographics
NPI:1922784669
Name:RAMOS HERNANDEZ, YENILEISY
Entity Type:Individual
Prefix:
First Name:YENILEISY
Middle Name:
Last Name:RAMOS 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 1:5415 28TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7515
Mailing Address - Country:US
Mailing Address - Phone:786-397-0017
Mailing Address - Fax:
Practice Address - Street 1:5415 28TH AVE SW
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7515
Practice Address - Country:US
Practice Address - Phone:786-397-0017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician