Individual ProviderIvis HernandezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6322 SW 93 Ave, Miami, FL 33173(305) 318-4757PECOS EnrollmentBased on the most recent information from CMS, provider Ivis Hernandez 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 ID1346791043Provider TypeIndividualFull NameHernandez, IvisGenderFemaleSole ProprietorYesEnumeration Date10/18/2016Last Updated10/18/2016Contact InformationPractice LocationPractice Address6322 SW 93 Ave, Miami, FL 33173Phone(305) 318-4757FaxUnlisted FaxMailing LocationMailing Address6322 SW 93 Ave, Miami, FL 33173PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer