Individual ProviderEythan Morenu VillarrubiaGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address15 Calle Dr Basora N, Mayaguez, PR 00680-4833(787) 834-0101(787) 466-0195PECOS EnrollmentBased on the most recent information from CMS, provider Eythan Morenu Villarrubia 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 2 days ago.Profile DetailsProvider ID1265048706Provider TypeIndividualFull NameMorenu Villarrubia, EythanCredentialMDGenderMaleSole ProprietorYesEnumeration Date9/21/2020Last Updated9/30/2020Contact InformationPractice LocationPractice Address15 Calle Dr Basora N, Mayaguez, PR 00680-4833Phone(787) 834-0101FaxUnlisted FaxMailing LocationMailing AddressPO Box 364, Mayaguez, PR 00681-0364Phone(787) 466-0195FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense21987Puerto Rico