Individual ProviderIbelis VallesBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1678 SW 25th Ave, Miami, FL 33145-2049(786) 370-0071PECOS EnrollmentBased on the most recent information from CMS, provider Ibelis Valles 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 9:43 AM.Profile DetailsProvider ID1245975143Provider TypeIndividualFull NameValles, IbelisGenderFemaleSole ProprietorYesEnumeration Date5/4/2022Last Updated5/4/2022Contact InformationPractice LocationPractice Address1678 SW 25th Ave, Miami, FL 33145-2049Phone(786) 370-0071FaxUnlisted FaxMailing LocationMailing Address1678 SW 25th Ave, Miami, FL 33145-2049Phone(786) 370-0071FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerFlorida