Individual ProviderBryan Urueta ChavezStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1901 1st Ave., New York City, NY 10029(212) 423-6771PECOS EnrollmentBased on the most recent information from CMS, provider Bryan Urueta Chavez 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 6 days ago.Profile DetailsProvider ID1184416604Provider TypeIndividualFull NameUrueta Chavez, BryanGenderMaleSole ProprietorNoEnumeration Date5/20/2025Last Updated5/20/2025Contact InformationPractice LocationPractice Address1901 1st Ave., New York City, NY 10029Phone(212) 423-6771Fax(212) 423-8099Mailing LocationMailing Address1901 1st Ave., New York City, NY 10029Phone(212) 423-6771Fax(212) 423-8099Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer