Provider Demographics
NPI:1245990498
Name:RODRIGUEZ FERNANDEZ, YUNIESKA (CBHCMS)
Entity type:Individual
Prefix:
First Name:YUNIESKA
Middle Name:
Last Name:RODRIGUEZ FERNANDEZ
Suffix:
Gender:F
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 SE 2ND PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5508
Mailing Address - Country:US
Mailing Address - Phone:786-546-9839
Mailing Address - Fax:
Practice Address - Street 1:815 NW 57TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2018
Practice Address - Country:US
Practice Address - Phone:786-693-6500
Practice Address - Fax:786-703-3424
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator