Provider Demographics
NPI:1598940397
Name:MIGUEL A. NUNEZ GONZALEZ
Entity Type:Organization
Organization Name:MIGUEL A. NUNEZ GONZALEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1787-439-2061
Mailing Address - Street 1:URB. EL MADRIGAL, CALLE #1
Mailing Address - Street 2:H-2, P.O. BOX 1090
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624
Mailing Address - Country:US
Mailing Address - Phone:787-836-5878
Mailing Address - Fax:
Practice Address - Street 1:URB. EL MADRIGAL, CALLE #1
Practice Address - Street 2:H-2,
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624
Practice Address - Country:US
Practice Address - Phone:787-836-5878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17000282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital