Look up the most recent NPI and PECOS records

Rita Mariela Hernandez

Behavior Technician

Behavioral Health & Social Service Providers

(786) 208-2032

PECOS Enrollment

Based on the most recent information from CMS, provider Rita Mariela Hernandez 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 12:57 PM.

Profile Details

Provider ID
1760078372
Provider Type
Individual
Full Name
Hernandez, Rita Mariela
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/17/2020
Last Updated
12/17/2020

Contact Information

Practice Location

14700 SW 38th St, Miami, FL 33185-3954

(786) 208-2032

Unlisted Fax

Mailing Location

14700 SW 38th St, Miami, FL 33185-3954

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License RBT-20-137526 Florida

Provider Identifiers

ID	Description	Issuer
ID RBT-20-137526	Description Medicaid	Issuer Unlisted Florida

Rita Mariela Hernandez

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

Pozo Acosta, Henrry R

Besteiro, Yelena

Gonzalez Jacomino, Tania

Alvarez Gonzalez, Yusleidy

Garcia Rodriguez, Yanara

Garcia, Yuliana

Albriza Ibarra, Daylenis

Lamas Robles, Yaremis Barbara

Hernandez Hernandez, Elaine

Oropesa, Diamylis