Most Relevant Information
Provider Data
| NPI Number: | 1003575440 |
| Provider Name: | YANISLEIDY HERNANDEZ ALONSO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2021 |
| Last Updated: | 12/13/2021 |
Provider Practice Location
12030 SW 129TH CT STE 206
MIAMI
FL
331864584
Practice Location Phone/Fax
| Phone: | 3054324032 |
| Fax: |
Provider Mailing Location
12030 SW 129TH CT STE 206
MIAMI
FL
331864584
Provider Mailing Phone/Fax
| Phone: | 3054324032 |
| Fax: |