Individual
JUAN L. RIESTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 PARK ST, MONTCLAIR, NJ 07042-5907
(973) 655-9300
(973) 439-5780
Mailing address
1 RUBINO RD, WEST CALDWELL, NJ 07006-8033
(973) 985-1698
(973) 439-5780
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
25MA05785800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7886802
—
NJ
Enumeration date
04/19/2006
Last updated
08/30/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us