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Mayra Alejandra Torres-Ruiz

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as MAYRA TORRES-RUIZ.

Based on the most recent information from CMS, provider Mayra Alejandra Torres-Ruiz is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1326769746
Provider Type
Individual
Full Name
Torres-Ruiz, Mayra Alejandra
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/5/2022
Last Updated
9/5/2022

Contact Information

Practice Location

127 State St, Louisville, KY 40206-3122

(601) 529-7499

Unlisted Fax

Mailing Location

127 State St, Louisville, KY 40206-3122

(601) 529-7499

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 257145 Kentucky

Mayra Alejandra Torres-Ruiz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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