Diandra Ortiz | Miami, FL • PECOS Search

Diandra Ortiz

Counselor

Behavioral Health & Social Service Providers

11200 Biscayne Blvd Ph 29, Miami, FL 33181-3467

PECOS Enrollment

Based on the most recent information from CMS, provider Diandra Ortiz 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 4 days ago.

Profile Details

Provider ID
1841995313
Provider Type
Individual
Full Name
Ortiz, Diandra
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/3/2023
Last Updated
4/3/2023

Contact Information

Practice Location

11200 Biscayne Blvd Ph 29, Miami, FL 33181-3467

Unlisted Fax

Mailing Location

11200 Biscayne Blvd Ph 29, Miami, FL 33181-3467

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH21995. Florida