Individual ProviderYismel Manuel Vera MaidiqueBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2456 SW 17th St, Miami, FL 33145-2002(786) 212-6709PECOS EnrollmentBased on the most recent information from CMS, provider Yismel Manuel Vera Maidique 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 ID1225850431Provider TypeIndividualFull NameVera Maidique, Yismel ManuelGenderMaleSole ProprietorYesEnumeration Date10/29/2024Last Updated10/29/2024Contact InformationPractice LocationPractice Address2456 SW 17th St, Miami, FL 33145-2002Phone(786) 212-6709FaxUnlisted FaxMailing LocationMailing Address2456 SW 17th St, Miami, FL 33145-2002Phone(786) 212-6709FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer