Individual provider · NPI-1

Miguel A. Guadalupe

Private Vehicle · Bronx, NY

NPI number1245042514
StatusActive
Last updated in NPPESJan 23, 2025

Details

NPI
1245042514
Entity type
Individual (NPI-1)
Name
Miguel A. Guadalupe
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 23, 2025
Certification date
Jan 23, 2025
Last updated
Jan 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
347C00000X Private Vehicle5657935NYYes

Practice location

3053 Coddington Ave # Ph
Bronx, NY 10461-6044

Phone 347-600-9343

Mailing address

3053 Coddington Ave # Ph
Bronx, NY 10461-6044

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