OrganizationSol Pediatrics LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address175 W 49th St, Hialeah, FL 33012-3711(786) 621-9777PECOS EnrollmentBased on the most recent information from CMS, provider Sol Pediatrics Llc 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 ID1326455387Provider TypeOrganizationFull NameSol Pediatrics LlcSubpartNoEnumeration Date7/22/2014Last Updated5/2/2016Contact InformationPractice LocationPractice Address175 W 49th St, Hialeah, FL 33012-3711Phone(786) 621-9777FaxUnlisted FaxMailing LocationMailing Address175 W 49th St, Hialeah, FL 33012-3711Phone(786) 621-9777FaxUnlisted FaxAuthorized OfficialNameRivas, Agustin (Manager)Phone(256) 412-0478Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseME-100281FloridaProvider IdentifiersIDDescriptionIssuerID013332701DescriptionMedicaidIssuerUnlistedFlorida