Individual ProviderAndy Williams Martinez LopezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address14912 SW 45th Ter, Miami, FL 33185-4309(786) 282-7611PECOS EnrollmentBased on the most recent information from CMS, provider Andy Williams Martinez Lopez 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 ID1194349951Provider TypeIndividualFull NameMartinez Lopez, Andy WilliamsTitleMr.CredentialRBTGenderMaleSole ProprietorYesEnumeration Date6/7/2020Last Updated6/7/2020Contact InformationPractice LocationPractice Address14912 SW 45th Ter, Miami, FL 33185-4309Phone(786) 282-7611FaxUnlisted FaxMailing LocationMailing Address14912 SW 45th Ter, Miami, FL 33185-4309Phone(786) 282-7611FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-20-121081Florida