Individual ProviderAlfredo Alfonso LedesmaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6638 SW 112th Pl, Miami, FL 33173-1967(305) 322-4010PECOS EnrollmentBased on the most recent information from CMS, provider Alfredo Alfonso Ledesma 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 ID1699547877Provider TypeIndividualFull NameAlfonso Ledesma, AlfredoGenderMaleSole ProprietorYesEnumeration Date10/23/2023Last Updated10/24/2023Contact InformationPractice LocationPractice Address6638 SW 112th Pl, Miami, FL 33173-1967Phone(305) 322-4010FaxUnlisted FaxMailing LocationMailing Address6638 SW 112th Pl, Miami, FL 33173-1967Phone(305) 322-4010FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer