Provider Demographics
NPI:1093918070
Name:NUNEZ, ANA DELIA (OTL)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:DELIA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00951-0580
Mailing Address - Country:US
Mailing Address - Phone:787-645-8919
Mailing Address - Fax:
Practice Address - Street 1:2ND STREET INTERIOR
Practice Address - Street 2:KM.19.9 BO. CANDELARIA
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-645-8919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR674225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR674OtherOCCUPATIONAL THERAPIST