Individual ProviderLuis Eduardo Mendez DiazBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address5920 SW 112th Ct, Miami, FL 33173-1030(305) 546-7134PECOS EnrollmentBased on the most recent information from CMS, provider Luis Eduardo Mendez Diaz 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 2:35 PM.Profile DetailsProvider ID1992405823Provider TypeIndividualFull NameMendez Diaz, Luis EduardoGenderMaleSole ProprietorYesEnumeration Date3/8/2023Last Updated3/8/2023Contact InformationPractice LocationPractice Address5920 SW 112th Ct, Miami, FL 33173-1030Phone(305) 546-7134FaxUnlisted FaxMailing LocationMailing Address5920 SW 112th Ct, Miami, FL 33173-1030Phone(305) 546-7134FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerFlorida