Provider Demographics
NPI:1134080138
Name:HERNANDEZ TEJERA, JILENIA MARGARITA
Entity type:Individual
Prefix:
First Name:JILENIA
Middle Name:MARGARITA
Last Name:HERNANDEZ TEJERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 W 76TH ST APT 204
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5670
Mailing Address - Country:US
Mailing Address - Phone:305-790-4073
Mailing Address - Fax:
Practice Address - Street 1:2425 W 76TH ST APT 204
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5670
Practice Address - Country:US
Practice Address - Phone:305-790-4073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician