Maria Perez-Grullon | Fort Pierce, FL • PECOS Search

Maria Perez-Grullon

Counselor

Behavioral Health & Social Service Providers

2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120

PECOS Enrollment

Based on the most recent information from CMS, provider Maria Perez-Grullon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1134557226
Provider Type
Individual
Full Name
Perez-Grullon, Maria
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/28/2013
Last Updated
10/28/2013

Contact Information

Practice Location

2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120

Unlisted Fax

Mailing Location

2814 S Us Highway 1, Suite D4, Fort Pierce, FL 34982-8120

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer