Provider Demographics
NPI:1568970358
Name:NUNEZ MOLINA, MILANIE
Entity Type:Individual
Prefix:
First Name:MILANIE
Middle Name:
Last Name:NUNEZ MOLINA
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 1:11033 CALLE TULIPAN
Mailing Address - Street 2:HACIENDA CONCORDIA
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-3105
Mailing Address - Country:US
Mailing Address - Phone:787-239-1421
Mailing Address - Fax:
Practice Address - Street 1:URB HACIENDA CONCORDIA
Practice Address - Street 2:11033 CALLE TULIPAN
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-239-1421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR130531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical