Individual ProviderMirta PlasenciaClinic/CenterAmbulatory Health Care FacilitiesPractice Address4445 W 16th Ave Ste 602, Hialeah, FL 33012-2960(786) 334-5663PECOS EnrollmentBased on the most recent information from CMS, provider Mirta Plasencia 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 ID1750600516Provider TypeIndividualFull NamePlasencia, MirtaTitleMissGenderFemaleSole ProprietorYesEnumeration Date5/19/2010Last Updated7/5/2023Contact InformationPractice LocationPractice Address4445 W 16th Ave Ste 602, Hialeah, FL 33012-2960Phone(786) 334-5663Fax(786) 786-4315Mailing LocationMailing Address4445 W 16th Ave Ste 602, Hialeah, FL 33012-2960Phone(786) 334-5663Fax(786) 786-4315Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseMA58262Florida