Provider Demographics
NPI:1184209157
Name:NUNEZ, MARIA (MINISTER)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:MINISTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8890 CICERO DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2436
Mailing Address - Country:US
Mailing Address - Phone:305-710-3155
Mailing Address - Fax:561-777-8345
Practice Address - Street 1:1903 S CONGRESS AVE STE 340
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6562
Practice Address - Country:US
Practice Address - Phone:561-733-1674
Practice Address - Fax:561-777-8345
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
374K00000XOtherRELIGIOUS NON MEDICAL TAXONOMY AND NPI