Healthcare Provider Details

I. General information

NPI: 1598237810
Provider Name (Legal Business Name): MAYTE HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2018
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7737 SW NORTH KENDALL DR APT C207
MIAMI FL
33156-7718
US

IV. Provider business mailing address

7737 SW NORTH KENDALL DR APT C207
MIAMI FL
33156-7718
US

V. Phone/Fax

Practice location:
  • Phone: 786-419-9406
  • Fax:
Mailing address:
  • Phone: 786-419-9406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: