Provider Demographics
NPI:1497066997
Name:NUNEZ GONZALEZ, JOEL RADHAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:RADHAMES
Last Name:NUNEZ GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10025 BRIDGEPOINTE CT NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-7405
Mailing Address - Country:US
Mailing Address - Phone:732-421-9670
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Practice Address - Street 2:MSC10-5620
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131
Practice Address - Country:US
Practice Address - Phone:505-272-4517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012788222084N0400X
IL0361652932084N0400X, 2084V0102X
FLME1635132084N0400X
LA3368562084N0400X
NC2023-027182084N0400X, 2084V0102X
NMMD2017-01422084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology