MEDICARE: YENISLEY DIAZ 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
1	106S00000X	Behavior Technician

Other Identifiers

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

General Provider Information

NPI Number	:	1104475367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENISLEY DIAZ HERNANDEZ

Provider Business Mailing Address
First Line	:	10055 SW 215TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-3035
Country	:	US
Telephone Number	:	786-422-3005
Fax Number	:

Provider Business Practice Location Address
First Line	:	7867 GRAND CANAL DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2262
Country	:	US
Telephone Number	:	786-422-3005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2019
Last Update Date	:	09/21/2021

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