Annette Santiago-Gomez | Raleigh, NC • PECOS Search

Annette Santiago-Gomez

Behavior Technician

Behavioral Health & Social Service Providers

421 Fayetteville St, Suite 1100, Raleigh, NC 27601-1792

PECOS Enrollment

Based on the most recent information from CMS, provider Annette Santiago-Gomez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1326585878
Provider Type
Individual
Full Name
Santiago-Gomez, Annette
Gender
Female

Sole Proprietor
No
Enumeration Date
1/23/2017
Last Updated
1/23/2017

Contact Information

Practice Location

421 Fayetteville St, Suite 1100, Raleigh, NC 27601-1792

Unlisted Fax

Mailing Location

500 Fairfield Dr., Suite 102, Deerfield, FL 33441

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer