JUVENTINO DIEZ (NPI# 1053953430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053953430 |
| Entity Type | Individual |
| Full Name | JUVENTINO DIEZ |
| Practice Address |
165 Mermaid Ln Bronx NY 10473-2499 |
| Practice Telephone | 9293030024 |
| Mailing Telephone | 9293030024 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | NY | Other Service Providers |
| Street Address |
165 MERMAID LN |
| City | BRONX |
| State | NY |
| Zip Code | 10473-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868225 | Salome Anderson | Licensed Practical Nurse | 635 Kathhilll Avenue, Bronx, NY 10473 | 2019-12-19 |
| 1740704634 | Darnae Montgomery | Social Worker | 2001 Story Avenue Apt#2q, Bronx, NY 10473 | 2017-08-01 |
| 1285164889 | Exceptional Aba Services Inc. | Social Worker | 1809 Seward Ave, Bronx, NY 10473 | 2017-06-15 |
| 1306207600 | Dat Transportation Inc | Taxi | 650 Soundview Avenue, Bronx, NY 10473 | 2016-03-14 |
| 1568876688 | Yadira Salazar | Behavioral Analyst | 945 Underhill Ave Apt1010, Bronx, NY 10473 | 2014-06-17 |
| 1881023976 | Evette Onogwu | Licensed Practical Nurse | 1676 Seward Ave Apt3b, Bronx, NY 10473 | 2013-11-08 |
| 1265876155 | Starlight Ambulette | Non-emergency Medical Transport (VAN) | 2211 Turnbull Ave, Bronx, NY 10473 | 2013-04-22 |
| 1104164490 | Alexa Rosas | Speech-Language Pathologist | 920 Metcalf Ave Apt 14d, Bronx, NY 10473 | 2013-01-22 |
| 1063761567 | Wanda Santiago | Specialist | 1710 Lafayette Avenue, Apt 6h, Bronx, NY 10473 | 2012-08-30 |
| 1558693135 | Ebenezer Peprah | Dentist | 1850 Lafayette Avenue, , Apt#20g, Bronx, NY 10473 | 2010-02-05 |
| Find all providers in zip 10473 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1750743639 | Jean Edouard | Peer Specialist | 640 W 232nd St, Bronx, NY 10463-3207 | 2016-03-22 |
| 1528565108 | Ramona Katiusca Santiago | Peer Specialist | 560 Southern Blvd, Bronx, NY 10455-3715 | 2018-04-10 |
| 1043751951 | Patricia Strauchn | Peer Specialist | 640 W 232nd St, Bronx, NY 10463-3207 | 2017-03-10 |
| 1568906683 | Jacqueline Belardo | Peer Specialist | 1910 Arthur Ave, 8th Floor #21, Bronx, NY 10457 | 2016-12-08 |
| 1427503531 | Margarita Perez | Peer Specialist | 1423 Prospect Ave, Bronx, NY 10459-1208 | 2016-08-18 |
| 1205288800 | Mark Rabb | Peer Specialist | 522 Courtlandt Ave, Bronx, NY 10451-5008 | 2016-07-07 |
| 1831540194 | Tameeka Gregg | Peer Specialist | 1500 Waters Pl, Bronx, NY 10461-2723 | 2016-06-28 |
| 1619337011 | Olivia Michelle Johntry | Peer Specialist | 1500 Waters Pl, Bronx, NY 10461-2723 | 2016-02-26 |
| 1710342472 | Myung Park | Peer Specialist | 3050 White Plains Road, Bronx, NY 10467 | 2015-12-23 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on JUVENTINO DIEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.