OrganizationSol Medical CenterClinic/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 Medical Center 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 ID1467825877Provider TypeOrganizationFull NameSol Medical CenterSubpartYesEnumeration Date11/6/2015Last Updated11/6/2015Contact 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 (Owner)Phone(786) 621-9777Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseME100281FloridaProvider IdentifiersIDDescriptionIssuerID013840000DescriptionMedicaidIssuerUnlistedFlorida