OrganizationPain Recovery Center CorpClinic/CenterAmbulatory Health Care FacilitiesPractice Address1140 W 50th St, Suite 202, Hialeah, FL 33012-3440(305) 362-6550PECOS EnrollmentBased on the most recent information from CMS, provider Pain Recovery 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 ID1407283278Provider TypeOrganizationFull NamePain Recovery Center CorpSubpartNoEnumeration Date10/10/2013Last Updated10/10/2013Contact InformationPractice LocationPractice Address1140 W 50th St, Suite 202, Hialeah, FL 33012-3440Phone(305) 362-6550Fax(305) 362-6549Mailing LocationMailing Address1140 W 50th St, Suite 202, Hialeah, FL 33012-3440Phone(305) 362-6550Fax(305) 362-6549Authorized OfficialNameMartinez, Humberto (President)Phone(305) 362-6550Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC10818Florida