Look up the most recent NPI and PECOS records

Yanelis Vanessa Ortiz Aquino

Social Worker

Behavioral Health & Social Service Providers

(617) 685-1945 (617) 818-3966

PECOS Enrollment

This provider is enrolled in PECOS as YANELIS ORTIZ AQUINO.

Based on the most recent information from CMS, provider Yanelis Vanessa Ortiz Aquino is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records today at 12:07 PM.

Profile Details

Provider ID
1518657626
Provider Type
Individual
Full Name
Ortiz Aquino, Yanelis Vanessa
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/11/2023
Last Updated
5/11/2023

Contact Information

Practice Location

520 Dudley St, Roxbury, MA 02119-2769

(617) 685-1945

Unlisted Fax

Mailing Location

20 Milton Ter, Randolph, MA 02368-5030

(617) 818-3966

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Yanelis Vanessa Ortiz Aquino

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kuczinski, Shiva

Grano, Victoria Rae

Durgin, Emily

Arias, Karina

Sirmollo, Misgana Tsgaye

Bruce, Talia Mary

Aguilar, Ana L

Mclean, Tanya Demyer

Padberg Hill, Robine P

Offenberg, Amy R