Individual ProviderFidel E Jimenez HernandezBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address8900 SW 142nd Ave Apt 313, Miami, FL 33186-1216(602) 725-7964PECOS EnrollmentBased on the most recent information from CMS, provider Fidel E Jimenez 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 6 days ago.Profile DetailsProvider ID1609677400Provider TypeIndividualFull NameJimenez Hernandez, Fidel EGenderMaleSole ProprietorYesEnumeration Date3/19/2025Last Updated3/19/2025Contact InformationPractice LocationPractice Address8900 SW 142nd Ave Apt 313, Miami, FL 33186-1216Phone(602) 725-7964FaxUnlisted FaxMailing LocationMailing Address8900 SW 142nd Ave Apt 313, Miami, FL 33186-1216Phone(602) 725-7964FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer