Individual ProviderDaniel RiveraCase Manager/Care CoordinatorOther Service ProvidersPractice Address6715 Dorr St., Toledo, OH 43615(419) 868-1178PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Rivera 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 7 days ago.Profile DetailsProvider ID1023589298Provider TypeIndividualFull NameRivera, DanielGenderMaleSole ProprietorNoEnumeration Date12/16/2018Last Updated12/16/2018Contact InformationPractice LocationPractice Address6715 Dorr St., Toledo, OH 43615Phone(419) 868-1178Fax(419) 868-1989Mailing LocationMailing AddressPO Box 400, Holland, OH 43528Phone(419) 868-1178Fax(419) 868-1989Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer