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JUVENTINO DIEZ
NPI 1053953430
Peer Specialist in Bronx, NY

Active since October 17, 2019
165 MERMAID LN, BRONX, NY 10473(929) 303-0024 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juventino Diez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUVENTINO DIEZ (NPI 1053953430) is an individual peer specialist in Bronx, New York and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1053953430
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJUVENTINO DIEZ
Location Address165 MERMAID LNBronx, NY 10473-2499
Mailing Address165 Mermaid LnBronx, NY 10473-2499 · (929) 303-0024
Phone(929) 303-0024
Sole ProprietorYes
Enumeration DateOctober 17, 2019
✔ NPI 1053953430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
165 MERMAID LN, Bronx, NY 10473
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juventino Diez's NPI number?

The NPI number for Juventino Diez is 1053953430. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Juventino Diez located?

Juventino Diez practices at 165 Mermaid Ln, Bronx, NY 10473. The listed phone number is (929) 303-0024.

What is Juventino Diez's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Juventino Diez was last updated on October 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.