Individual ProviderYanelys Mallelin Ruiz MayedoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2600 SW 15th St, Miami, FL 33145-1227(786) 539-9208PECOS EnrollmentBased on the most recent information from CMS, provider Yanelys Mallelin Ruiz Mayedo 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 ID1285138511Provider TypeIndividualFull NameRuiz Mayedo, Yanelys MallelinTitleMissGenderFemaleSole ProprietorYesEnumeration Date3/21/2018Last Updated9/3/2019Contact InformationPractice LocationPractice Address2600 SW 15th St, Miami, FL 33145-1227Phone(786) 539-9208FaxUnlisted FaxMailing LocationMailing Address2600 SW 15th St, Miami, FL 33145-1227Phone(786) 539-9208FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer