Provider Demographics
NPI:1720596661
Name:NUNEZ, EMID (CERTIFIED COACH)
Entity Type:Individual
Prefix:MR
First Name:EMID
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:CERTIFIED COACH
Other - Prefix:
Other - First Name:EMID
Other - Middle Name:
Other - Last Name:NUNEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CERTIFIED COACH
Mailing Address - Street 1:A14 AVE ESTEBES
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641
Mailing Address - Country:US
Mailing Address - Phone:787-933-7887
Mailing Address - Fax:
Practice Address - Street 1:A14 AVE ESTEBES
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641
Practice Address - Country:US
Practice Address - Phone:787-933-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2018-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator