Individual ProviderJorge L RiveroDurable Medical Equipment & Medical SuppliesSuppliersPractice Address175 Fontainebleau Blvd, 2 K, Miami, FL 33172-7018(305) 552-0111PECOS EnrollmentBased on the most recent information from CMS, provider Jorge L Rivero 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 ID1366610628Provider TypeIndividualFull NameRivero, Jorge LGenderMaleSole ProprietorYesEnumeration Date2/20/2008Last Updated4/18/2008Contact InformationPractice LocationPractice Address175 Fontainebleau Blvd, 2 K, Miami, FL 33172-7018Phone(305) 552-0111FaxUnlisted FaxMailing LocationMailing Address175 Fontainebleau Blvd, 2 K, Miami, FL 33172-7018Phone(305) 552-0111FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerFlorida