OrganizationPlaya Dorada Medical CareClinic/CenterAmbulatory Health Care FacilitiesPractice AddressLocal B 1,2,3,4,5 Centro Comercia Playa Dorada, Puerto Plata, Puerto Plata NONE (Dominican Republic)(809) 320-2222(407) 931-1717PECOS EnrollmentBased on the most recent information from CMS, provider Playa Dorada Medical Care 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 yesterday at 3:36 PM.Profile DetailsProvider ID1104197904Provider TypeOrganizationFull NamePlaya Dorada Medical CareSubpartNoEnumeration Date1/25/2012Last Updated1/25/2012Contact InformationPractice LocationPractice AddressLocal B 1,2,3,4,5 Centro Comercia Playa Dorada, Puerto Plata, Puerto Plata NONE (Dominican Republic)Phone(809) 320-2222FaxUnlisted FaxMailing LocationMailing Address8400 NW 25th Street Suite 110, Bm:030073212, Doral, FL 33122Phone(407) 931-1717Fax(407) 931-2121Authorized OfficialNameMena, Alberto A (Billing Director)Phone(407) 931-1717Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer