NPI Registry.org

Guillermo Riestra

NPI Registration Record

Provider / OrganizationNPIDate Certified
GUILLERMO RIESTRA13560878602022-05-08

Guillermo Riestra is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356087860. Registration indicates Guillermo Riestra is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Guillermo Riestra
Practice Office Address240 WILLIAMSON ST
ELIZABETH, NJ US
Practice Office Telephone9089945480
Mailing Address225 WILLIAMSON ST
ELIZABETH, NJ 072023625 US
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes
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