NPI 1609483460
Janier David Custodio
Practice location
- Address
- 8169 Cond San Vicente Calle Concordia 412, Ponce, PR 00716
- Phone
- (787) 284-5884
- Mailing address
- PO Box 7793, Ponce, PR 00732-7793
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1609483460
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Sep 2020
- Record last updated
- 25 Sep 2020
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.