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Miriam Isela Hernandez

Peer Specialist in San Jose, CA. Individual provider (NPI-1).

NPI number1669943403
StatusActive
Last updated in NPPESAug 26, 2026

Details

NPI
1669943403
Entity type
Individual (NPI-1)
Name
Miriam Isela Hernandez
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2018
Certification date
Aug 26, 2026
Last updated
Aug 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
172V00000X Community Health Worker––
171M00000X Case Manager/Care Coordinator––

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Phone 408-876-4284

Mailing address

232 E Gish Rd
San Jose, CA 95112-4706

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