Provider Demographics
NPI:1760545602
Name:RIGOBERTO M NUNEZ MDPA
Entity Type:Organization
Organization Name:RIGOBERTO M NUNEZ MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RIGOBERTO
Authorized Official - Middle Name:MARCIANO
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-270-1910
Mailing Address - Street 1:8900 SW 117TH AVE
Mailing Address - Street 2:SUITE 101 B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2175
Mailing Address - Country:US
Mailing Address - Phone:305-270-1910
Mailing Address - Fax:305-270-1810
Practice Address - Street 1:8900 SW 117TH AVE
Practice Address - Street 2:SUITE 101 B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2175
Practice Address - Country:US
Practice Address - Phone:305-270-1910
Practice Address - Fax:305-270-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME341452080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659314771Medicare UPIN