OrganizationElizabeth Heras Quintero(<Unavail>)DentistDental ProvidersPractice AddressFrancisco Javier Mina #1415,, Ste. 103, Zona Rio, Tijuana, Baja California 22010 (Mexico)(619) 400-3360PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Heras Quintero 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 ID1215326392Provider TypeOrganizationFull NameElizabeth Heras QuinteroOther Name<Unavail>SubpartNoEnumeration Date1/13/2015Last Updated1/13/2015Contact InformationPractice LocationPractice AddressFrancisco Javier Mina #1415,, Ste. 103, Zona Rio, Tijuana, Baja California 22010 (Mexico)Phone(619) 400-3360FaxUnlisted FaxMailing LocationMailing Address710 E San Ysidro Blvd, Ste. 231, San Ysidro, CA 92173-3123Phone(619) 400-3360FaxUnlisted FaxAuthorized OfficialNameQuintero, Elizabeth Heras (Owner)Phone(619) 400-3360Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense4123556