Provider Demographics
NPI:1346123338
Name:HERNANDEZ, YURAISY
Entity type:Individual
Prefix:
First Name:YURAISY
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8981 SW 72ND ST APT 135
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3408
Mailing Address - Country:US
Mailing Address - Phone:305-429-9555
Mailing Address - Fax:
Practice Address - Street 1:8981 SW 72ND ST APT 135
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3408
Practice Address - Country:US
Practice Address - Phone:305-429-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician