Provider Demographics
NPI:1760474720
Name:NUNEZ, WILLIAM A (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1627
Mailing Address - Street 2:
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-1627
Mailing Address - Country:US
Mailing Address - Phone:787-883-8846
Mailing Address - Fax:787-883-8846
Practice Address - Street 1:KM 29.4 STATE ROAD #2
Practice Address - Street 2:NUNEZ PLAZA BUILDING
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-1627
Practice Address - Country:US
Practice Address - Phone:787-883-8846
Practice Address - Fax:787-883-8846
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice