Individual ProviderMichael Rivero PlasenciaBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address14411 Commerce Way Suite 310, Miami Lakes, FL 33016(305) 827-2822PECOS EnrollmentBased on the most recent information from CMS, provider Michael Rivero Plasencia 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 4 days ago.Profile DetailsProvider ID1730619503Provider TypeIndividualFull NameRivero Plasencia, MichaelGenderMaleSole ProprietorNoEnumeration Date6/14/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address14411 Commerce Way Suite 310, Miami Lakes, FL 33016Phone(305) 827-2822FaxUnlisted FaxMailing LocationMailing Address14411 Commerce Way Ste 310, Miami Lakes, FL 33016-1532Phone(305) 827-2822FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer