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Guadalupe Corona Suarez

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Guadalupe Corona Suarez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1659851012
Provider Type
Individual
Full Name
Suarez, Guadalupe Corona
Gender
Female

Sole Proprietor
No
Enumeration Date
8/15/2018
Last Updated
4/27/2023

Contact Information

Practice Location

232 E Gish Rd, San Jose, CA 95112-4706

(408) 655-7874

Unlisted Fax

Mailing Location

232 E Gish Rd, San Jose, CA 95112-4706

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Guadalupe Corona Suarez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Thuen, Tina

Rodriguez, Sonia L

Pham, Gloria

Chea, Soveary

Tran, Joanne

Ascencio, Stephanie Anen

Ball, Steven

Barranti, Juliana D

Fernandez, Daisy

Pesek, Audrey Grace