Individual ProviderDavid JativaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address14358 Biscayne Blvd, North Miami, FL 33181(305) 912-4039PECOS EnrollmentBased on the most recent information from CMS, provider David Jativa 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 10:46 AM.Profile DetailsProvider ID1720419443Provider TypeIndividualFull NameJativa, DavidTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date12/5/2013Last Updated8/17/2018Contact InformationPractice LocationPractice Address14358 Biscayne Blvd, North Miami, FL 33181Phone(305) 912-4039Fax(305) 909-9686Mailing LocationMailing Address14358 Biscayne Blvd, North Miami, FL 33181-1206Phone(305) 912-4039Fax(305) 909-9686Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME126406Florida