Individual ProviderNeily Martinez CantilloBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address11050 SW 70th Ter, Miami, FL 33173-2156(305) 204-0647PECOS EnrollmentBased on the most recent information from CMS, provider Neily Martinez Cantillo 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 2:35 PM.Profile DetailsProvider ID1154186567Provider TypeIndividualFull NameMartinez Cantillo, NeilyGenderFemaleSole ProprietorYesEnumeration Date2/15/2024Last Updated2/27/2024Contact InformationPractice LocationPractice Address11050 SW 70th Ter, Miami, FL 33173-2156Phone(305) 204-0647FaxUnlisted FaxMailing LocationMailing Address11050 SW 70th Ter, Miami, FL 33173-2156Phone(305) 204-0647FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerFlorida