Individual ProviderClara L GomezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2549 SW 19th Ter, Miami, FL 33145-2519(786) 426-8382PECOS EnrollmentBased on the most recent information from CMS, provider Clara L Gomez 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 2 days ago.Profile DetailsProvider ID1194236943Provider TypeIndividualFull NameGomez, Clara LGenderFemaleSole ProprietorYesEnumeration Date10/19/2017Last Updated10/19/2017Contact InformationPractice LocationPractice Address2549 SW 19th Ter, Miami, FL 33145-2519Phone(786) 426-8382FaxUnlisted FaxMailing LocationMailing Address2549 SW 19th Ter, Miami, FL 33145-2519PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerFlorida