Individual ProviderFlorencia Rodriguez-TavaresCounselorBehavioral Health & Social Service ProvidersPractice Address1149 N El Dorado St, Stockton, CA 95202-1305(209) 468-2335PECOS EnrollmentBased on the most recent information from CMS, provider Florencia Rodriguez-Tavares 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 ID1124474234Provider TypeIndividualFull NameRodriguez-Tavares, FlorenciaGenderFemaleSole ProprietorNoEnumeration Date5/6/2016Last Updated5/6/2016Contact InformationPractice LocationPractice Address1149 N El Dorado St, Stockton, CA 95202-1305Phone(209) 468-2335FaxUnlisted FaxMailing LocationMailing Address1149 N El Dorado St, Stockton, CA 95202-1305Phone(209) 468-2335FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer