Juventino Diez, is a
Peer Specialist based in Bronx, New York. Juventino Diez is licensed to practice in New York (license number ) and his current practice location is
165 Mermaid Ln, Bronx, New York. He can be reached at his office (for appointments etc.) via phone at
(929) 303-0024.
NPI number for Juventino Diez is 1053953430 and his current mailing address is 165 Mermaid Ln, Bronx, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053953430.
Healthcare Provider's Profile
| Full Name | Juventino Diez |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 165 Mermaid Ln, Bronx, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053953430
- Provider Enumeration Date: 10/17/2019
- Last Update Date: 10/17/2019
Medical Identifiers
Medical identifiers for Juventino Diez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053953430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Juventino Diez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Juventino Diez,
165 Mermaid Ln,
Bronx, NY 10473-2499
Ph: (929) 303-0024 | Juventino Diez,
165 Mermaid Ln,
Bronx, NY 10473-2499
Ph: (929) 303-0024 |
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