Active NPIIndividual provider

Guillermo Riestra

Podiatrist, Foot & Ankle Surgery in Elizabeth, New Jersey

NPI Number1356087860
Practice location
240 Williamson St, Elizabeth, NJ 07202-3674
Fax
—
Last updated
September 2, 2024

Guillermo Riestra is a Podiatrist, Foot & Ankle Surgery based in Elizabeth, NJ. Guillermo Riestra practices in Elizabeth, NJ. The NPI Number for Guillermo Riestra is 1356087860 and holds a License No. 25MD00381700 (NJ). The current practice location address for Guillermo Riestra is 240 Williamson St, Elizabeth, NJ 07202-3674 and can be reached out via phone at 908-994-5480.

Provider Profile Details

NPI Number
1356087860
Provider Name
Guillermo Riestra
Provider Entity Type
Individual
Gender
Male
Address
240 Williamson St, Elizabeth, NJ 07202-3674
Phone Number
908-994-5480
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
May 8, 2022
Last Update Date
September 2, 2024
Certification Date
September 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 Williamson St
Elizabeth, NJ 07202-3674
Zip
07202-3674
Phone Number
908-994-5480
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
240 Williamson St Ste 200
Elizabeth, NJ 07202-3671
City
Elizabeth
State
NJ
Zip
07202-3671
Phone Number
908-353-1777

License Information

License Number
25MD00381700
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Guillermo Riestra?

The NPI number of Guillermo Riestra is 1356087860. It was assigned on May 8, 2022 and is currently active in the NPPES registry.

What is the specialty of Guillermo Riestra?

Guillermo Riestra is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00381700.

Where does Guillermo Riestra practice?

The practice location is 240 Williamson St, Elizabeth, NJ 07202-3674. The office can be reached at 908-994-5480 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356087860 directly on the NPPES registry website.

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