Individual ProviderRafael CarmonaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address10710 SW 70th St, Miami, FL 33173-2013(786) 784-5287PECOS EnrollmentBased on the most recent information from CMS, provider Rafael Carmona 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 ID1437043908Provider TypeIndividualFull NameCarmona, RafaelGenderMaleSole ProprietorYesEnumeration Date6/7/2025Last Updated6/11/2025Contact InformationPractice LocationPractice Address10710 SW 70th St, Miami, FL 33173-2013Phone(786) 784-5287FaxUnlisted FaxMailing LocationMailing Address10710 SW 70th St, Miami, FL 33173-2013Phone(786) 784-5287FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense25-440656Florida