Provider Demographics
NPI:1467633933
Name:NUNEZ, MIGUEL ANGEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:ANGEL
Last Name:NUNEZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3850 BIRD RD STE 601
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1514
Mailing Address - Country:US
Mailing Address - Phone:305-442-0633
Mailing Address - Fax:305-442-9537
Practice Address - Street 1:3850 BIRD RD STE 601
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1514
Practice Address - Country:US
Practice Address - Phone:305-442-0633
Practice Address - Fax:305-442-9537
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2023-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0063184208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL371947200Medicaid
FLF48911Medicare UPIN