IndividualActive
Janier Custodio
NPI 1609483460 · Case Management Agency · Ponce, PR
Provider details
- NPI number
- 1609483460
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
8169 Cond San Vicente Calle Concordia
412
Ponce, PR 00716
Phone: (787) 284-5884
Mailing address
Po Box 7793
Ponce, PR 00732-7793
Registry dates
- Enumerated
- 2020-09-25
- Last updated
- 2020-09-25
- Certified
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.