Individual ProviderJixi ValdiviaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1300 SW 21st Ave, Miami, FL 33145-1351(305) 690-3074PECOS EnrollmentBased on the most recent information from CMS, provider Jixi Valdivia 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 2 days ago.Profile DetailsProvider ID1821506825Provider TypeIndividualFull NameValdivia, JixiGenderFemaleSole ProprietorYesEnumeration Date1/12/2018Last Updated1/12/2018Contact InformationPractice LocationPractice Address1300 SW 21st Ave, Miami, FL 33145-1351Phone(305) 690-3074FaxUnlisted FaxMailing LocationMailing Address1300 SW 21st Ave, Miami, FL 33145-1351Phone(305) 690-3074FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer