Individual ProviderLiev Cepero HernandezGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressEdif 101, Mendez Vigo, Suite 201, Mayaguez, PR 00680(787) 833-8333(305) 299-3934PECOS EnrollmentBased on the most recent information from CMS, provider Liev Cepero Hernandez 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 ID1528747425Provider TypeIndividualFull NameCepero Hernandez, LievTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date7/17/2023Last Updated7/17/2023Contact InformationPractice LocationPractice AddressEdif 101, Mendez Vigo, Suite 201, Mayaguez, PR 00680Phone(787) 833-8333FaxUnlisted FaxMailing LocationMailing AddressHc 2 Box 9802, Las Marias, PR 00670-9023Phone(305) 299-3934FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense23385Puerto RicoCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense963-P.APuerto RicoCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense8930Arizona