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NPI Code Detail

MEDICARE: MAYTE HERNANDEZ

MEDICARE:   MAYTE  HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianFL
2253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598237810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYTE HERNANDEZ
Provider Business Mailing Address
First Line : 7749 N KENDALL DR APT D326
Second Line :
City : MIAMI
State : FL
Zip : 33156-7718
Country : US
Telephone Number : 786-419-9406
Fax Number :
Provider Business Practice Location Address
First Line : 7749 N KENDALL DR APT D326
Second Line :
City : MIAMI
State : FL
Zip : 33156-7718
Country : US
Telephone Number : 786-419-9406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 08/20/2019

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Directions to “ MAYTE HERNANDEZ ” Practice Location

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