Active NPI
Yudesky Hernandez, DDS
- Social Worker
- Miami, FL
National Provider Identifier
1154878379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 815 NW 57TH Ave Ste 325
Miami, FL 33126-2054 - Phone
- (786) 768-9017
- NPI assigned
- Sep 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
815 NW 57TH Ave Ste 325
Miami, FL 33126-2054
Mailing address
815 NW 57TH Ave Ste 325
Miami, FL 33126-2054
Phone (786) 768-9017
Other practice location 1
8300 W Flagler St Ste 258C
Miami, FL 33144-6002
Phone (305) 530-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110948700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympus Healthcare Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Miami, FL
- NPI 1225660103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1154878379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 NW 57TH AVE STE 325",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262054",
"telephone_number": "786-768-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 NW 57TH AVE STE 325",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262054",
"telephone_number": "786-768-9017"
}
],
"practiceLocations": [
{
"address_1": "8300 W Flagler St Ste 258C",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331446002",
"country_code": "US",
"telephone_number": "305-530-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "YUDESKY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-06",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110948700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.