Individual ProviderLorena Bustamante PerdomoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3799 SW 148th Ct, Miami, FL 33185-3901(786) 631-0521PECOS EnrollmentBased on the most recent information from CMS, provider Lorena Bustamante Perdomo 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 12:57 PM.Profile DetailsProvider ID1932970563Provider TypeIndividualFull NameBustamante Perdomo, LorenaCredentialRBTGenderFemaleSole ProprietorYesEnumeration Date1/11/2024Last Updated1/11/2024Contact InformationPractice LocationPractice Address3799 SW 148th Ct, Miami, FL 33185-3901Phone(786) 631-0521FaxUnlisted FaxMailing LocationMailing Address3799 SW 148th Ct, Miami, FL 33185-3901Phone(786) 631-0521FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-23-318769Florida