OrganizationPain Relief Rehab Medical Center,Corp(<Unavail>)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address3750 W 16th Ave, Suite#104, Hialeah, FL 33012-4654(305) 821-2530PECOS EnrollmentBased on the most recent information from CMS, provider Pain Relief Rehab Medical Center,Corp 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 ID1265691356Provider TypeOrganizationFull NamePain Relief Rehab Medical Center,CorpOther Name<Unavail>SubpartNoEnumeration Date6/4/2008Last Updated4/8/2013Contact InformationPractice LocationPractice Address3750 W 16th Ave, Suite#104, Hialeah, FL 33012-4654Phone(305) 821-2530Fax(305) 821-2968Mailing LocationMailing Address3750 W 16th Ave, Suite#104, Hialeah, FL 33012-4654Phone(305) 821-2530Fax(305) 821-2968Authorized OfficialNameAscencion, Roberta (Owner)Phone(305) 821-2530Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC8097Florida