Look up the most recent NPI and PECOS records

Evagne Rodriguez Leiva

Behavior Technician

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Evagne Rodriguez Leiva 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 12:57 PM.

Profile Details

Provider ID
1134654650
Provider Type
Individual
Full Name
Rodriguez Leiva, Evagne
Gender
Female

Sole Proprietor
Yes
Enumeration Date
4/21/2017
Last Updated
9/11/2019

Contact Information

Practice Location

14710 SW 38th Ter, Miami, FL 33185

(786) 683-0921

Unlisted Fax

Mailing Location

14710 SW 38th Ter, Miami, FL 33185-3946

(786) 683-0921

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 103489900	Description Medicaid	Issuer Unlisted Florida

Evagne Rodriguez Leiva

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

Caceres Herrera, Maricel

Suarez, Hany

Relova Fernandez, Dania

Bernal, Jorge Noel

Alvarez Gonzalez, Yusleidy

Esturo Carbonell, Addis Beatriz

Morejon Magarino, Diana Rosa

Ricardo Ruiz, Aylin Eliset

Salas Lopez, Erizabeth

Monteagudo Del Valle, Dayanis Maria