Individual ProviderMailyn Mena HuetNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11052 SW 161st St, Miami, FL 33157-2837(786) 397-2319PECOS EnrollmentBased on the most recent information from CMS, provider Mailyn Mena Huet 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 ID1881262368Provider TypeIndividualFull NameMena Huet, MailynGenderFemaleSole ProprietorYesEnumeration Date6/11/2021Last Updated6/26/2021Contact InformationPractice LocationPractice Address11052 SW 161st St, Miami, FL 33157-2837Phone(786) 397-2319FaxUnlisted FaxMailing LocationMailing Address11052 SW 161st St, Miami, FL 33157-2837Phone(786) 397-2319FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11013938FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN9389615Florida