Provider Demographics
NPI:1972481521
Name:SARDUY SERRANO, YANEXI
Entity type:Individual
Prefix:
First Name:YANEXI
Middle Name:
Last Name:SARDUY SERRANO
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 1:18521 NW 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-3003
Mailing Address - Country:US
Mailing Address - Phone:305-345-2415
Mailing Address - Fax:
Practice Address - Street 1:18521 NW 30TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-3003
Practice Address - Country:US
Practice Address - Phone:305-345-3415
Practice Address - Fax:305-345-2415
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician