Individual ProviderMartine LarrieuxNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6250 Sunset Dr, South Miami, FL 33143(786) 662-5187(305) 975-9590PECOS EnrollmentBased on the most recent information from CMS, provider Martine Larrieux 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 today at 10:37 AM.Profile DetailsProvider ID1396254926Provider TypeIndividualFull NameLarrieux, MartineTitleMrs.CredentialARNPGenderFemaleSole ProprietorYesEnumeration Date9/27/2017Last Updated5/27/2019Contact InformationPractice LocationPractice Address6250 Sunset Dr, South Miami, FL 33143Phone(786) 662-5187FaxUnlisted FaxMailing LocationMailing Address19225 SW 129th Ave, Miami, FL 33177-4230Phone(305) 975-9590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9179154Florida