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Juan Gabriel Rodriguez Guzman

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

300 George St, Suite 901, New Haven, CT 06511-6624

PECOS Enrollment

This provider is enrolled in PECOS as JUAN RODRIGUEZ GUZMAN.

Based on the most recent information from CMS, provider Juan Gabriel Rodriguez Guzman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1912439589
Provider Type
Individual
Full Name
Rodriguez Guzman, Juan Gabriel
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/1/2017
Last Updated
4/1/2025

Contact Information

Practice Location

300 George St, Suite 901, New Haven, CT 06511-6624

(917) 938-9113

(303) 535-0263

Mailing Location

74 Barnswallow Dr, Trumbull, CT 06611-2527

(917) 938-9113

(303) 535-0262

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 63822 Connecticut

Juan Gabriel Rodriguez Guzman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Yun, Richard

Peluso, Francesco

Mcclurkin, Michael Anthony

Berman, Robert Mark

Enendu, Kaosoluchi

Munivar, Azim Momin

Klingensmith, Katherine Elizabeth

Hermes, Gretchen L.

Radhakrishnan, Rajiv

Hussain, Nuzhat