Individual ProviderBrissa Mundo-SantacruzStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address601 E Hampden Ave Ste 470, Englewood, CO 80113-2797(303) 788-3150PECOS EnrollmentBased on the most recent information from CMS, provider Brissa Mundo-Santacruz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:26 AM.Profile DetailsProvider ID1073215877Provider TypeIndividualFull NameMundo-Santacruz, BrissaCredentialMDGenderFemaleSole ProprietorYesEnumeration Date3/17/2023Last Updated3/17/2023Contact InformationPractice LocationPractice Address601 E Hampden Ave Ste 470, Englewood, CO 80113-2797Phone(303) 788-3150FaxUnlisted FaxMailing LocationMailing Address601 E Hampden Ave Ste 470, Englewood, CO 80113-2797Phone(303) 788-3150FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer