Search › New York › 175T00000X
Juventino Diez
NPI 1053953430 · on the registry since 2019 · sole proprietor
Practice
- Address
- 165 Mermaid Ln
Bronx, NY 10473 - Phone
- (929) 303-0024
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 101YA0400X
101YM0800X
101YP1600X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York