OrganizationYuridia AguayoDentistDental ProvidersPractice Address#9580 Paseo Del Centenario Ote Int 1601-A, Tijuana, Baja California 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Yuridia Aguayo 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 ID1841966504Provider TypeOrganizationFull NameYuridia AguayoSubpartNoEnumeration Date8/20/2021Last Updated8/20/2021Contact InformationPractice LocationPractice Address#9580 Paseo Del Centenario Ote Int 1601-A, Tijuana, Baja California 22010 (Mexico)Phone(619) 488-3200Fax(619) 908-1095Mailing LocationMailing Address4275 Executive Sq Ste 200, La Jolla, CA 92037-1476PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameAguayo, Yuridia (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer