Provider Demographics
NPI:1467562439
Name:NUNEZ, ROSE M (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:M
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25921 ROUNDABOUT PT
Mailing Address - Street 2:
Mailing Address - City:SORRENTO
Mailing Address - State:FL
Mailing Address - Zip Code:32776-7722
Mailing Address - Country:US
Mailing Address - Phone:787-466-0693
Mailing Address - Fax:
Practice Address - Street 1:25921 ROUNDABOUT PT
Practice Address - Street 2:
Practice Address - City:SORRENTO
Practice Address - State:FL
Practice Address - Zip Code:32776-7722
Practice Address - Country:US
Practice Address - Phone:787-466-0693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747A0650X
PR305225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist