Healthcare Provider Details

I. General information

NPI: 1598696007
Provider Name (Legal Business Name): YEMILY HERNANDEZ OTERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 SALZEDO ST APT 9
CORAL GABLES FL
33134-2830
US

IV. Provider business mailing address

1002 SALZEDO ST APT 9
CORAL GABLES FL
33134-2830
US

V. Phone/Fax

Practice location:
  • Phone: 786-909-3907
  • Fax: 786-409-2247
Mailing address:
  • Phone: 786-909-3907
  • Fax: 786-409-2247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT26-538816
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: