Provider Demographics
NPI:1801832159
Name:NUNEZ, JUAN RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:RAFAEL
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND CONDESA DEL MAR
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-4900
Mailing Address - Country:US
Mailing Address - Phone:787-268-2894
Mailing Address - Fax:
Practice Address - Street 1:3103 COND CONDESA DEL MAR
Practice Address - Street 2:APT 603 ISLA VERDE
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-4900
Practice Address - Country:US
Practice Address - Phone:787-268-2894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
PR112812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist