Look up the most recent NPI and PECOS records

Lucila Palacios

Behavior Technician

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Lucila Palacios does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1235587791
Provider Type
Individual
Full Name
Palacios, Lucila
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/25/2016
Last Updated
3/23/2019

Contact Information

Practice Location

5610 SW 108th Ct, Miami, FL 33173-1220

(786) 343-9171

Unlisted Fax

Mailing Location

5610 SW 108th Ct, Miami, FL 33173-1220

(786) 343-9171

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License RBT-18-61443 Florida

Provider Identifiers

ID	Description	Issuer
ID 017528600	Description Medicaid	Issuer Unlisted Florida

Lucila Palacios

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Lopez, Mariela Yolanda

Vega, Gabriela

Lopez, Maria Karla

Montesino, Roberto

Blanco Gonzalez, Lourdes

Lopez, Alberto Rafael

Zapata Herrada, Ailyn

Oviedo Pieiga, Deborah

Gutierrez, Jenetsy Amaris

Cardenas, Marisol