Individual ProviderEvangelina MoncayoOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2203 Babcock Rd, San Antonio, TX 78229-4412(210) 614-3911PECOS EnrollmentBased on the most recent information from CMS, provider Evangelina Moncayo 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 12:57 PM.Profile DetailsProvider ID1275959132Provider TypeIndividualFull NameMoncayo, EvangelinaTitleMs.CredentialOTR/CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date3/14/2014Last Updated10/13/2014Contact InformationPractice LocationPractice Address2203 Babcock Rd, San Antonio, TX 78229-4412Phone(210) 614-3911Fax(210) 616-0443Mailing LocationMailing Address2203 Babcock Rd, San Antonio, TX 78229-4412Phone(210) 614-3911Fax(210) 616-0443Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense104672TexasCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense14441Texas