Individual
ISYANIA ONDARZA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 NW 25TH AVE, MIAMI, FL 33125-4441
(786) 915-1829
Mailing address
531 NW 25TH AVE, MIAMI, FL 33125-4441
(786) 915-1829
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM103967
FL
Other
Enumeration date
04/23/2018
Last updated
01/12/2022
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