Guachichulca, Pedro Vivente

Guachichulca, Pedro Vivente is an sole proprietor health care provider with primary practice located at 2367 2Nd Ave , New York NY 10035-3108. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Guachichulca, Pedro Vivente can be contacted via phone (212) 876-2300.

Contact Information

Primary practice address
2367 2Nd Ave New York NY 10035-3108
Fax: (212) 722-7618
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 12891 New York

Profile Details

NPI number 1487803060
LBN Legal business name Guachichulca, Pedro Vivente
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2008
Last updated Sep 18th, 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.

Request for update

Popular Providers