Healthcare Provider Details

I. General information

NPI: 1124957352
Provider Name (Legal Business Name): DAYLIN VASALLO HERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 CAMERON WOODS DR
APEX NC
27523-3719
US

IV. Provider business mailing address

1321 CAMERON WOODS DR
APEX NC
27523-3719
US

V. Phone/Fax

Practice location:
  • Phone: 786-795-7708
  • Fax:
Mailing address:
  • Phone: 786-795-7708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: