Individual ProviderVivian LopezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address14928 SW 38th Ter, Miami, FL 33185-3939(786) 250-7290PECOS EnrollmentBased on the most recent information from CMS, provider Vivian Lopez 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 ID1114608536Provider TypeIndividualFull NameLopez, VivianGenderFemaleSole ProprietorYesEnumeration Date7/27/2023Last Updated7/27/2023Contact InformationPractice LocationPractice Address14928 SW 38th Ter, Miami, FL 33185-3939Phone(786) 250-7290FaxUnlisted FaxMailing LocationMailing Address14928 SW 38th Ter, Miami, FL 33185-3939Phone(786) 250-7290FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer