Individual ProviderYris Roque OgandoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address11190 SW 57th Ter, Miami, FL 33173-1167(305) 776-4035PECOS EnrollmentBased on the most recent information from CMS, provider Yris Roque Ogando 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 ID1801410774Provider TypeIndividualFull NameRoque Ogando, YrisGenderFemaleSole ProprietorYesEnumeration Date6/5/2020Last Updated6/5/2020Contact InformationPractice LocationPractice Address11190 SW 57th Ter, Miami, FL 33173-1167Phone(305) 776-4035FaxUnlisted FaxMailing LocationMailing Address11190 SW 57th Ter, Miami, FL 33173-1167Phone(305) 776-4035FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-20-118943Florida