Guerrero Pena, Herson Ivan

Guerrero Pena, Herson Ivan is an sole proprietor health care provider with primary practice located at 1071 Port Malabar Blvd Ne Ste 105-106 , Palm Bay FL 32905-5161. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Guerrero Pena, Herson Ivan can be contacted via phone (321) 355-0073.

Contact Information

Primary practice address
1071 Port Malabar Blvd Ne Ste 105-106 Palm Bay FL 32905-5161
Phone: (321) 355-0073
Fax: (321) 821-6860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1861907693
LBN Legal business name Guerrero Pena, Herson Ivan
Credentials TCM CASE MANAGER FCB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2017
Last updated Dec 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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