Individual ProviderAngelica Maria GonzalezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3506 SW 23rd Ter, Miami, FL 33145(786) 603-1816PECOS EnrollmentBased on the most recent information from CMS, provider Angelica Maria Gonzalez 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 ID1821514209Provider TypeIndividualFull NameGonzalez, Angelica MariaGenderFemaleSole ProprietorYesEnumeration Date8/17/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address3506 SW 23rd Ter, Miami, FL 33145Phone(786) 603-1816FaxUnlisted FaxMailing LocationMailing Address3506 SW 23rd Ter, Miami, FL 33145-3025Phone(786) 603-1816FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense18-52216Florida