Healthcare Provider Details

I. General information

NPI: 1033215942
Provider Name (Legal Business Name): YOLANDA CARIDAD HERNANDEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 NE 55TH BLVD
GAINESVILLE FL
32641-2783
US

IV. Provider business mailing address

12724 NW 93RD PL
ALACHUA FL
32615-6748
US

V. Phone/Fax

Practice location:
  • Phone: 352-375-8484
  • Fax: 352-264-8304
Mailing address:
  • Phone: 386-462-0645
  • Fax: 386-462-0659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberME0056001
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME0056001
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: