Bauza Henriquez, Ivan Audberto

Bauza Henriquez, Ivan Audberto is an sole proprietor health care provider with primary practice located at 1056 Ave Munoz Rivera Suite 608 First Federal Building, Rio Piedras PR 00927-5015. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Bauza Henriquez, Ivan Audberto can be contacted via phone (787) 661-0174.

Contact Information

Primary practice address
1056 Ave Munoz Rivera Suite 608 First Federal Building Rio Piedras PR 00927-5015
Phone: (787) 661-0174
Fax: (787) 858-0218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1886 Puerto Rico

Profile Details

NPI number 1770774143
LBN Legal business name Bauza Henriquez, Ivan Audberto
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2007
Last updated Aug 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770774143 NPPES
Puerto Rico Other 3087 APS
Puerto Rico Other 580437 APS

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