OrganizationIrving Leonel Garcia GuevaraDentistDental ProvidersPractice AddressPaseo Del Centenario 9580, Tijuana, Baja California 22010 (Mexico)(619) 272-9021PECOS EnrollmentBased on the most recent information from CMS, provider Irving Leonel Garcia Guevara 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 yesterday at 12:57 PM.Profile DetailsProvider ID1841042439Provider TypeOrganizationFull NameIrving Leonel Garcia GuevaraSubpartYesEnumeration Date4/4/2024Last Updated4/4/2024Contact InformationPractice LocationPractice AddressPaseo Del Centenario 9580, Tijuana, Baja California 22010 (Mexico)Phone(619) 272-9021FaxUnlisted FaxMailing LocationMailing Address502 E San Ysidro Blvd Ste C-378, San Ysidro, CA 92173-3111PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameGarcia Guevara, Irving Leonel (Provider)Phone(619) 272-9021Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer