Individual ProviderMarilou ReyesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address500 S Rancho Dr, Suite 12, Las Vegas, NV 89106-4844(702) 877-1887PECOS EnrollmentBased on the most recent information from CMS, provider Marilou Reyes 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 ID1891127775Provider TypeIndividualFull NameReyes, MarilouCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date8/2/2013Last Updated8/2/2013Contact InformationPractice LocationPractice Address500 S Rancho Dr, Suite 12, Las Vegas, NV 89106-4844Phone(702) 877-1887Fax(702) 877-4536Mailing LocationMailing Address500 S Rancho Dr, Suite 12, Las Vegas, NV 89106-4844Phone(702) 877-1887Fax(702) 877-4536Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN001556Nevada