Healthcare Provider Details

I. General information

NPI: 1851200695
Provider Name (Legal Business Name): JUAN CARLOS GUIRIGAY SANDREA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8320 LAKE CITY WAY NE APT 209
SEATTLE WA
98115-4472
US

IV. Provider business mailing address

8320 LAKE CITY WAY NE APT 209
SEATTLE WA
98115-4472
US

V. Phone/Fax

Practice location:
  • Phone: 206-476-1305
  • Fax:
Mailing address:
  • Phone: 206-476-1305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: