Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Pedro Vivente Guachichulca, CASAC

Individual provider Case Management Agency · NPI 1487803060

Mr. Pedro Vivente Guachichulca, CASAC is a Case Management Agency in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

2367 2nd Ave
New York, NY 10035-3108
Phone: (212) 876-2300
Fax: (212) 722-7618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence 12891 (NY)

Record details

NPI number1487803060
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorYes
NPI enumeratedSeptember 18, 2008
Last updated in NPPESSeptember 18, 2008

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