Look up the most recent NPI and PECOS records

Jose Angel Castillo Escriba

Behavior Technician

Behavioral Health & Social Service Providers

11252 SW 71st Ln, Miami, FL 33173-1969

PECOS Enrollment

Based on the most recent information from CMS, provider Jose Angel Castillo Escriba does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1629740196
Provider Type
Individual
Full Name
Castillo Escriba, Jose Angel
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/1/2021
Last Updated
12/3/2021

Contact Information

Practice Location

11252 SW 71st Ln, Miami, FL 33173-1969

(786) 322-0621

Unlisted Fax

Mailing Location

11252 SW 71st Ln, Miami, FL 33173-1969

(786) 322-0621

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License RBT-20-119338 Florida

Provider Identifiers

ID	Description	Issuer
ID 109159000	Description Medicaid	Issuer Unlisted Florida

Jose Angel Castillo Escriba

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Bauta Cubenas, Lisandra Judith

Barranco Roque, Chabeli

Zapata Herrada, Ailyn

Oviedo Pieiga, Deborah

Silva Lopez, Osmani

Carreras, Annelly A

Garcia Fernandez, Maydelin

Garcia, Tamara

Montano Gonzalez, Jesus Ahmed

Morales Hernandez, Heysel