Individual ProviderWinstom LopezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6000 SW 112th Ave, Miami, FL 33173-1139(305) 322-8653PECOS EnrollmentBased on the most recent information from CMS, provider Winstom Lopez 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 2:35 PM.Profile DetailsProvider ID1316444862Provider TypeIndividualFull NameLopez, WinstomGenderMaleSole ProprietorYesEnumeration Date4/11/2018Last Updated9/10/2019Contact InformationPractice LocationPractice Address6000 SW 112th Ave, Miami, FL 33173-1139Phone(305) 322-8653FaxUnlisted FaxMailing LocationMailing Address6000 SW 112th Ave, Miami, FL 33173-1139Phone(305) 322-8653FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-18-51242Florida