Provider Demographics
NPI:1326134792
Name:NUNEZ-COLON, NEIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIDA
Middle Name:
Last Name:NUNEZ-COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NEIDA
Other - Middle Name:
Other - Last Name:NUNEZ DE ASMAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 12161
Mailing Address - Street 2:LOIZA STREET STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00914-0161
Mailing Address - Country:US
Mailing Address - Phone:787-783-2353
Mailing Address - Fax:
Practice Address - Street 1:E10 AVE RAMIREZ DE ARELLANO
Practice Address - Street 2:GARDEN HILLS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-2811
Practice Address - Country:US
Practice Address - Phone:787-783-2353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1223208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics