Individual ProviderRoxana PonceBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3142 SW 16th Ter, Miami, FL 33145-1814(786) 370-7174PECOS EnrollmentBased on the most recent information from CMS, provider Roxana Ponce 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 ID1851985287Provider TypeIndividualFull NamePonce, RoxanaGenderFemaleSole ProprietorYesEnumeration Date2/25/2021Last Updated3/21/2023Contact InformationPractice LocationPractice Address3142 SW 16th Ter, Miami, FL 33145-1814Phone(786) 370-7174FaxUnlisted FaxMailing LocationMailing Address3142 SW 16th Ter, Miami, FL 33145-1814PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense20-119423FloridaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer