Provider Demographics
NPI:1225869704
Name:HERNANDEZ OYUELA, AMERICA IVETTE (HHA)
Entity type:Individual
Prefix:
First Name:AMERICA
Middle Name:IVETTE
Last Name:HERNANDEZ OYUELA
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 NW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4938
Mailing Address - Country:US
Mailing Address - Phone:305-587-9774
Mailing Address - Fax:
Practice Address - Street 1:275 NW 33RD AVE FL 33125
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4924
Practice Address - Country:US
Practice Address - Phone:305-606-3540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6341913374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty