Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUAN L. RIESTRA, M.D.
Active Sole ProprietorJUAN L. RIESTRA, M.D. is a Geriatric Psychiatry healthcare provider located in MONTCLAIR, New Jersey. NPI 1841255320 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychiatry · MONTCLAIR, NJ
Registration Details
- NPI Number
- 1841255320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2006 (20.342522418289 yrs)
- Last Updated
- Aug 30, 2010
- License
-
25MA05785800 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
70 PARK STMONTCLAIR, NJ, 070425907Browse NJ providers · Browse ZIP 07042
- Phone
- 9736559300
- Fax
- 9734395780
- Primary Specialty
-
Geriatric Psychiatry
2084P0805X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.