Individual ProviderLensky Jose Hernandez SantiagoDurable Medical Equipment & Medical SuppliesSuppliersPractice Address175 Fontainebleau Blvd Ste 2g6a, Miami, FL 33172-7012(786) 325-5079PECOS EnrollmentBased on the most recent information from CMS, provider Lensky Jose Hernandez Santiago 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 ID1629584446Provider TypeIndividualFull NameHernandez Santiago, Lensky JoseGenderMaleSole ProprietorYesEnumeration Date12/15/2017Last Updated12/15/2017Contact InformationPractice LocationPractice Address175 Fontainebleau Blvd Ste 2g6a, Miami, FL 33172-7012Phone(786) 325-5079Fax(786) 325-5079Mailing LocationMailing Address175 Fontainebleau Blvd Ste 2g6a, Miami, FL 33172-7012PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted Issuer