Individual ProviderNieves HernandezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2477 SW 18th St, Miami, FL 33145-2401(786) 704-5057PECOS EnrollmentBased on the most recent information from CMS, provider Nieves 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 2 days ago.Profile DetailsProvider ID1487255147Provider TypeIndividualFull NameHernandez, NievesGenderFemaleSole ProprietorYesEnumeration Date11/7/2020Last Updated11/7/2020Contact InformationPractice LocationPractice Address2477 SW 18th St, Miami, FL 33145-2401Phone(786) 704-5057FaxUnlisted FaxMailing LocationMailing Address2477 SW 18th St, Miami, FL 33145-2401Phone(786) 704-5057FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense614191Florida