Individual ProviderJackeline Marcial RiosPsychologistBehavioral Health & Social Service ProvidersPractice AddressBarrio Espinar Calle D#26, Aguada, PR 00602(787) 560-1254PECOS EnrollmentBased on the most recent information from CMS, provider Jackeline Marcial Rios is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1932608312Provider TypeIndividualFull NameMarcial Rios, JackelineTitleDr.CredentialPSY. DGenderFemaleSole ProprietorNoEnumeration Date2/12/2018Last Updated6/24/2024Contact InformationPractice LocationPractice AddressBarrio Espinar Calle D#26, Aguada, PR 00602Phone(787) 560-1254FaxUnlisted FaxMailing LocationMailing AddressBarrio Espinar Calle D#26, Aguada, PR 00602Phone(787) 560-1254FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense7819Puerto Rico