Provider Demographics
NPI:1952818007
Name:HERNANDEZ, YULIET
Entity Type:Individual
Prefix:
First Name:YULIET
Middle Name:
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 1:1430 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-3610
Mailing Address - Country:US
Mailing Address - Phone:786-704-6081
Mailing Address - Fax:
Practice Address - Street 1:160 NW 176TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-5021
Practice Address - Country:US
Practice Address - Phone:786-300-7334
Practice Address - Fax:786-300-7334
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician