Individual ProviderDairy TorresBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4411 SW 163rd Psge, Miami, FL 33185(786) 757-0589PECOS EnrollmentBased on the most recent information from CMS, provider Dairy Torres 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 12:57 PM.Profile DetailsProvider ID1649777269Provider TypeIndividualFull NameTorres, DairyCredentialBAGenderFemaleSole ProprietorYesEnumeration Date4/10/2018Last Updated8/14/2018Contact InformationPractice LocationPractice Address4411 SW 163rd Psge, Miami, FL 33185Phone(786) 757-0589FaxUnlisted FaxMailing LocationMailing Address4411 SW 163rd Psge, Miami, FL 33185-4577Phone(786) 757-0589FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID018335400DescriptionMedicaidIssuerUnlistedFlorida