Corachea, Ronaldo San Juan

Corachea, Ronaldo San Juan is an sole proprietor health care provider with primary practice located at 7608 69Th Pl Apt 2B , Glendale NY 11385-7138. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics is his primary health care specialty. Corachea, Ronaldo San Juan can be contacted via phone (347) 886-6661.

Contact Information

Primary practice address
7608 69Th Pl Apt 2B Glendale NY 11385-7138
Phone: (347) 886-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 018679-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 018679-1 New York

Profile Details

NPI number 1669793980
LBN Legal business name Corachea, Ronaldo San Juan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2010
Last updated Jun 22nd, 2010 - about 15 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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