Provider Demographics
NPI:1225780497
Name:NUNEZ LINARES, MARIA JULIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:JULIA
Last Name:NUNEZ LINARES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 SW 69TH AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33023-7606
Mailing Address - Country:US
Mailing Address - Phone:754-273-1751
Mailing Address - Fax:
Practice Address - Street 1:1921 SW 69TH AVE APT 209
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33023-7606
Practice Address - Country:US
Practice Address - Phone:754-273-1751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician