Look up the most recent NPI and PECOS records

Soledad Puente-Guzman

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Soledad Puente-Guzman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1568538882
Provider Type
Individual
Full Name
Puente-Guzman, Soledad
Gender
Female

Sole Proprietor
No
Enumeration Date
11/28/2006
Last Updated
1/30/2017

Contact Information

Practice Location

1000 10th Ave, New York, NY 10019-1147

(212) 523-8050

(212) 523-8055

Mailing Location

1000 10th Ave, Suite 2m, New York, NY 10019-1147

(212) 523-6230

(212) 523-6241

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 223136 New York

Provider Identifiers

ID	Description	Issuer
ID 223136	Description Other	Issuer LICENSE New York

Soledad Puente-Guzman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Jovellanos, Jeremy Val

Okun, Alexander L

Shah, Rozana

Linday, Linda Anne

Westside Pediatric Assosoates

Tangredi, Angela

Dandamudi Patcha, Suparna

Gordon, I Bruce

Figueroa, Silkia Mercedes

Ahle, Gabriella