Look up the most recent NPI and PECOS records

Brilliant Medical Center Inc

Clinic/Center

Ambulatory Health Care Facilities

1840 W 49th St Ste 700, Hialeah, FL 33012-2973

PECOS Enrollment

Based on the most recent information from CMS, provider Brilliant Medical Center Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1487909552
Provider Type
Organization
Full Name
Brilliant Medical Center Inc

Subpart
No
Enumeration Date
7/16/2012
Last Updated
7/16/2012

Contact Information

Practice Location

1840 W 49th St Ste 700, Hialeah, FL 33012-2973

(305) 262-6904

Unlisted Fax

Mailing Location

1840 W 49th St Ste 700, Hialeah, FL 33012-2973

Unlisted Phone

Unlisted Fax

Authorized Official

Riveron, Alexis (President)

(305) 262-6904

Provider Taxonomies

Code	Description	License
Code 261Q00000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Brilliant Medical Center Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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