Individual ProviderAdrian Perez MedinaGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressCorp. Servicios Medicos Calle Dr. Susoni Num. 121, Hatillo, PR 00659(787) 898-4190(787) 898-3346PECOS EnrollmentBased on the most recent information from CMS, provider Adrian Perez Medina 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 yesterday at 12:57 PM.Profile DetailsProvider ID1891704755Provider TypeIndividualFull NamePerez Medina, AdrianCredentialMDGenderMaleSole ProprietorYesEnumeration Date8/7/2006Last Updated7/21/2022Contact InformationPractice LocationPractice AddressCorp. Servicios Medicos Calle Dr. Susoni Num. 121, Hatillo, PR 00659Phone(787) 898-4190FaxUnlisted FaxMailing LocationMailing AddressPaseo Del Campo #8 Carretera 492 Bo. Corcobado, Hatillo, Puerto Rico 00659 (United States Minor Outlying Islands)Phone(787) 898-3346FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense13,837Puerto Rico