Individual ProviderPeter GuidoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4700 Jefferson St NE, Ste 800, Albuquerque, NM 87109(505) 872-6000(505) 232-1920PECOS EnrollmentBased on the most recent information from CMS, provider Peter Guido 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 5 days ago.Profile DetailsProvider ID1003839119Provider TypeIndividualFull NameGuido, PeterCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/26/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4700 Jefferson St NE, Ste 800, Albuquerque, NM 87109Phone(505) 872-6000Fax(505) 872-6003Mailing LocationMailing AddressPO Box 27829, Albuquerque, NM 87125Phone(505) 232-1920Fax(505) 727-9276Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense200041New MexicoProvider IdentifiersIDDescriptionIssuerIDA3308DescriptionMedicaidIssuerUnlistedNew Mexico