OrganizationPrestige Medical Services IncGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address12905 SW 42nd St Ste 101, Miami, FL 33175-2910(305) 553-5600PECOS EnrollmentBased on the most recent information from CMS, provider Prestige Medical Services Inc 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 ID1013216597Provider TypeOrganizationFull NamePrestige Medical Services IncSubpartNoEnumeration Date3/23/2011Last Updated8/16/2012Contact InformationPractice LocationPractice Address12905 SW 42nd St Ste 101, Miami, FL 33175-2910Phone(305) 553-5600Fax(305) 553-5602Mailing LocationMailing Address12905 SW 42nd St Ste 101, Miami, FL 33175-2910Phone(305) 553-5600Fax(305) 553-5602Authorized OfficialNameHernandez, Humberto (President)Phone(305) 553-5600Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseHCC9068FloridaProvider IdentifiersIDDescriptionIssuerIDFC741ADescriptionOtherIssuerMEDICARE PROVIDERFlorida