Individual ProviderJoel Hernandez RodriguezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address15793 SW 43rd St, Miami, FL 33185-3815(786) 626-2773PECOS EnrollmentBased on the most recent information from CMS, provider Joel Hernandez Rodriguez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1003406976Provider TypeIndividualFull NameHernandez Rodriguez, JoelCredentialRBTGenderMaleSole ProprietorYesEnumeration Date1/24/2021Last Updated1/24/2021Contact InformationPractice LocationPractice Address15793 SW 43rd St, Miami, FL 33185-3815Phone(786) 626-2773FaxUnlisted FaxMailing LocationMailing Address15793 SW 43rd St, Miami, FL 33185-3815Phone(786) 626-2773FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-21-151236Florida