NPI 1053953430
Juventino Diez
Practice location
- Address
- 165 Mermaid Ln, Bronx, NY 10473-2499
- Phone
- (929) 303-0024
Registered specialties (4)
Peer Specialist
Primary
Addiction (Substance Use Disorder) Counselor
Mental Health Counselor
Pastoral Counselor
Registry record
- NPI
- 1053953430
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Oct 2019
- Record last updated
- 17 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.