Provider Demographics
NPI:1619541976
Name:NUNEZ-TOVAR, HUGO ALBERTO
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:ALBERTO
Last Name:NUNEZ-TOVAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 S 172ND PL
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3736
Mailing Address - Country:US
Mailing Address - Phone:206-354-8379
Mailing Address - Fax:
Practice Address - Street 1:4820 S 172ND PL
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-3736
Practice Address - Country:US
Practice Address - Phone:206-354-8379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC11803171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter