Individual ProviderWanda I RodriguezRegistered NurseNursing Service ProvidersPractice Address1100 Warburton Ave Apt 4p, Yonkers, NY 10701-1009(914) 720-3452PECOS EnrollmentBased on the most recent information from CMS, provider Wanda I 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 yesterday at 9:43 AM.Profile DetailsProvider ID1255715371Provider TypeIndividualFull NameRodriguez, Wanda IGenderFemaleSole ProprietorNoEnumeration Date7/18/2015Last Updated7/18/2015Contact InformationPractice LocationPractice Address1100 Warburton Ave Apt 4p, Yonkers, NY 10701-1009Phone(914) 720-3452FaxUnlisted FaxMailing LocationMailing Address1100 Warburton Ave, 4p, Yonkers, NY 10701Phone(914) 720-3452FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense450947-1New York