Individual ProviderMario Jose DavilaCounselorBehavioral Health & Social Service ProvidersPractice Address16 Marion St Apt 2, Medford, MA 02155-6220(787) 238-1838PECOS EnrollmentBased on the most recent information from CMS, provider Mario Jose Davila 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 10:04 AM.Profile DetailsProvider ID1518611730Provider TypeIndividualFull NameDavila, Mario JoseGenderMaleSole ProprietorNoEnumeration Date2/7/2022Last Updated2/7/2022Contact InformationPractice LocationPractice Address16 Marion St Apt 2, Medford, MA 02155-6220Phone(787) 238-1838FaxUnlisted FaxMailing LocationMailing Address16 Marion St Apt 2, Medford, MA 02155-6220PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer