Individual ProviderReinelvy MesaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1719 SW 13th St, Miami, FL 33145-1401(786) 510-3403PECOS EnrollmentBased on the most recent information from CMS, provider Reinelvy Mesa 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 2 days ago.Profile DetailsProvider ID1790567253Provider TypeIndividualFull NameMesa, ReinelvyGenderMaleSole ProprietorYesEnumeration Date10/19/2023Last Updated10/19/2023Contact InformationPractice LocationPractice Address1719 SW 13th St, Miami, FL 33145-1401Phone(786) 510-3403FaxUnlisted FaxMailing LocationMailing Address1719 SW 13th St, Miami, FL 33145-1401Phone(786) 510-3403FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense23-300899Florida