Look up the most recent NPI and PECOS records

Tamara Garcia

Behavior Technician

Behavioral Health & Social Service Providers

6541 SW 112th Ave, Miami, FL 33173-2070

PECOS Enrollment

Based on the most recent information from CMS, provider Tamara Garcia does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1124506837
Provider Type
Individual
Full Name
Garcia, Tamara
Credential
RBT-15-07902

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/3/2018
Last Updated
8/3/2018

Contact Information

Practice Location

6541 SW 112th Ave, Miami, FL 33173-2070

(305) 608-5572

Unlisted Fax

Mailing Location

4196 E 10th Ave, Hialeah, FL 33013-2502

(305) 527-7937

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License RBT-15-07902 Florida

Provider Identifiers

ID	Description	Issuer
ID 021094400	Description Medicaid	Issuer Unlisted Florida

Tamara Garcia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Fernandez Secin, Nadia

Montano Gonzalez, Jesus Ahmed

Martinez Polo, Maylin

Pazos Tacoronte, Abraham Alejandro

Puentes Albrecht, Diana M

Lopez, Winstom

Gutierrez, Jenetsy Amaris

Castro, Melissa Cherie

Bermudez Montero, Angelica Maria

Martinez Cantillo, Neily