Individual ProviderElaine Hernandez HernandezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address15793 SW 43rd St, Miami, FL 33185-3815(786) 587-8659PECOS EnrollmentBased on the most recent information from CMS, provider Elaine Hernandez Hernandez 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 ID1174217970Provider TypeIndividualFull NameHernandez Hernandez, ElaineTitleMs.GenderFemaleSole ProprietorYesEnumeration Date6/5/2023Last Updated6/27/2023Contact InformationPractice LocationPractice Address15793 SW 43rd St, Miami, FL 33185-3815Phone(786) 587-8659FaxUnlisted FaxMailing LocationMailing Address15793 SW 43rd St, Miami, FL 33185-3815Phone(786) 587-8659FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-23-272962Florida