Individual ProviderLourdes Blanco GonzalezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address10901 N Snapper Creek Dr, Miami, FL 33173-2019(786) 458-6679PECOS EnrollmentBased on the most recent information from CMS, provider Lourdes Blanco Gonzalez 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 ID1619764818Provider TypeIndividualFull NameBlanco Gonzalez, LourdesGenderFemaleSole ProprietorYesEnumeration Date4/22/2025Last Updated4/22/2025Contact InformationPractice LocationPractice Address10901 N Snapper Creek Dr, Miami, FL 33173-2019Phone(786) 458-6679FaxUnlisted FaxMailing LocationMailing Address10901 N Snapper Creek Dr, Miami, FL 33173-2019Phone(786) 458-6679FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer