Individual ProviderYordelis Broche RodriguezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2720 SW 20th St # Th, Miami, FL 33145-2302(786) 757-8396PECOS EnrollmentBased on the most recent information from CMS, provider Yordelis Broche Rodriguez 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 ID1194581355Provider TypeIndividualFull NameBroche Rodriguez, YordelisGenderFemaleSole ProprietorYesEnumeration Date2/26/2024Last Updated2/26/2024Contact InformationPractice LocationPractice Address2720 SW 20th St # Th, Miami, FL 33145-2302Phone(786) 757-8396FaxUnlisted FaxMailing LocationMailing Address2720 SW 20th St, Miami, FL 33145-2302Phone(786) 757-8396FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense24-325663Florida