Provider Demographics
NPI:1205359577
Name:NUNEZ STIGLICH, MARIA MONSERRAT (PA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:MONSERRAT
Last Name:NUNEZ STIGLICH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 CRYSTAL LAKE RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-3741
Mailing Address - Country:US
Mailing Address - Phone:603-276-0003
Mailing Address - Fax:
Practice Address - Street 1:11760 BIRD RD STE 539
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8100
Practice Address - Country:US
Practice Address - Phone:305-228-6200
Practice Address - Fax:305-228-1314
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA91123882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry