Individual ProviderIris M GonzalezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1719 SW 13th St, Miami, FL 33145-1401(786) 623-7239PECOS EnrollmentBased on the most recent information from CMS, provider Iris M Gonzalez 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 ID1093224610Provider TypeIndividualFull NameGonzalez, Iris MGenderFemaleSole ProprietorYesEnumeration Date9/26/2017Last Updated11/16/2021Contact InformationPractice LocationPractice Address1719 SW 13th St, Miami, FL 33145-1401Phone(786) 623-7239FaxUnlisted FaxMailing LocationMailing Address1719 SW 13th St, Miami, FL 33145-1401Phone(786) 623-7239FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense20-119494Florida