Individual provider · Type 1 NPI

Jose Manuel Guevara, DDS

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1609704576 Active

Practice location

5500 Broadway
Bronx, NY 10463-5238

Mailing address

33 W Washington Ave
Stamford, CT 06902-2315

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609704576

Jose Manuel Guevara, DDS's National Provider Identifier is 1609704576, issued on May 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on May 11, 2026.