Individual ProviderMelisa AlvarezClinic/CenterAmbulatory Health Care FacilitiesPractice Address4178 W 12th Ave, Hialeah, FL 33012-4158(305) 822-1894PECOS EnrollmentBased on the most recent information from CMS, provider Melisa Alvarez 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 today at 4:18 PM.Profile DetailsProvider ID1013667559Provider TypeIndividualFull NameAlvarez, MelisaGenderFemaleSole ProprietorYesEnumeration Date3/27/2022Last Updated4/5/2023Contact InformationPractice LocationPractice Address4178 W 12th Ave, Hialeah, FL 33012-4158Phone(305) 822-1894Fax(305) 822-1895Mailing LocationMailing Address4178 W 12th Ave, Hialeah, FL 33012-4158Phone(305) 822-1894FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC8011Florida