OrganizationNew Moon Massage Services IncClinic/CenterAmbulatory Health Care FacilitiesPractice Address1140 W 50th St, Suite 402, Hialeah, FL 33012-3440(305) 888-2002PECOS EnrollmentBased on the most recent information from CMS, provider New Moon Massage 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 ID1184058406Provider TypeOrganizationFull NameNew Moon Massage Services IncSubpartNoEnumeration Date8/22/2013Last Updated8/22/2013Contact InformationPractice LocationPractice Address1140 W 50th St, Suite 402, Hialeah, FL 33012-3440Phone(305) 888-2002Fax(305) 888-2003Mailing LocationMailing Address1140 W 50th St, Suite 402, Hialeah, FL 33012-3440Phone(305) 888-2002Fax(305) 888-2003Authorized OfficialNameCorrea Vila, Juan C (President)Phone(305) 888-2002Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC8563Florida