Individual ProviderJose E CordovaBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address11755 SW 90th St, Suite 210, Miami, FL 33186-2177(305) 846-9807PECOS EnrollmentBased on the most recent information from CMS, provider Jose E Cordova 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 6 days ago.Profile DetailsProvider ID1083037659Provider TypeIndividualFull NameCordova, Jose EGenderMaleSole ProprietorYesEnumeration Date2/1/2014Last Updated2/1/2014Contact InformationPractice LocationPractice Address11755 SW 90th St, Suite 210, Miami, FL 33186-2177Phone(305) 846-9807Fax(305) 846-9711Mailing LocationMailing Address11755 SW 90th St, Suite 210, Miami, FL 33186-2177Phone(305) 846-9807Fax(305) 846-9711Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer