Individual ProviderAlberto Rafael LopezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6551 SW 93rd Pl, Miami, FL 33173-2356(786) 495-2308PECOS EnrollmentBased on the most recent information from CMS, provider Alberto Rafael Lopez 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 ID1659114338Provider TypeIndividualFull NameLopez, Alberto RafaelTitleMr.GenderMaleSole ProprietorNoEnumeration Date6/18/2024Last Updated6/18/2024Contact InformationPractice LocationPractice Address6551 SW 93rd Pl, Miami, FL 33173-2356Phone(786) 495-2308FaxUnlisted FaxMailing LocationMailing Address6551 SW 93rd Pl, Miami, FL 33173-2356PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-24-355256Florida