Individual ProviderLeonel Felipe Hernandez RodriguezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2180 SW 15th St, Miami, FL 33145-1314(786) 889-0848PECOS EnrollmentBased on the most recent information from CMS, provider Leonel Felipe 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 2 days ago.Profile DetailsProvider ID1013776830Provider TypeIndividualFull NameHernandez Rodriguez, Leonel FelipeGenderMaleSole ProprietorYesEnumeration Date3/14/2024Last Updated3/14/2024Contact InformationPractice LocationPractice Address2180 SW 15th St, Miami, FL 33145-1314Phone(786) 889-0848FaxUnlisted FaxMailing LocationMailing Address2180 SW 15th St, Miami, FL 33145-1314Phone(786) 889-0848FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-24-327975Florida