Individual ProviderMartha Gonzalez-FuentesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address475 Bay St, Staten Island, NY 10304-3228(646) 597-5277PECOS EnrollmentBased on the most recent information from CMS, provider Martha Gonzalez-Fuentes 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 11:47 AM.Profile DetailsProvider ID1932987815Provider TypeIndividualFull NameGonzalez-Fuentes, MarthaGenderFemaleSole ProprietorYesEnumeration Date9/20/2023Last Updated2/19/2025Contact InformationPractice LocationPractice Address475 Bay St, Staten Island, NY 10304-3228Phone(646) 597-5277FaxUnlisted FaxMailing LocationMailing Address475 Bay St, Staten Island, NY 10304-3228Phone(646) 597-5277FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer