Individual ProviderBenita RivasTechnicianNursing Service Related ProvidersPractice Address2770 S Maryland Pkwy Ste 108b-G, Las Vegas, NV 89109-1554(702) 463-7779PECOS EnrollmentBased on the most recent information from CMS, provider Benita Rivas 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 ID1063989549Provider TypeIndividualFull NameRivas, BenitaGenderFemaleSole ProprietorYesEnumeration Date11/1/2018Last Updated11/1/2018Contact InformationPractice LocationPractice Address2770 S Maryland Pkwy Ste 108b-G, Las Vegas, NV 89109-1554Phone(702) 463-7779FaxUnlisted FaxMailing LocationMailing Address9264 Cantana St, Las Vegas, NV 89123-3713PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode3747P1801XPrimaryDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer