OrganizationDamasa M DiazBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address2740 W 76th St Apt 105, Hialeah, FL 33016-5623(786) 473-7751PECOS EnrollmentBased on the most recent information from CMS, provider Damasa M Diaz 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 5 days ago.Profile DetailsProvider ID1629427943Provider TypeOrganizationFull NameDamasa M DiazSubpartNoEnumeration Date6/7/2016Last Updated6/7/2016Contact InformationPractice LocationPractice Address2740 W 76th St Apt 105, Hialeah, FL 33016-5623Phone(786) 473-7751FaxUnlisted FaxMailing LocationMailing Address2740 W 76th St Apt 105, Hialeah, FL 33016-5623Phone(786) 473-7751FaxUnlisted FaxAuthorized OfficialNameDiaz, Damasa M (Provider)Phone(786) 473-7751Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer