Provider Demographics
NPI:1841755394
Name:NUNEZ DIAZ, RIGOBERTO (APRN)
Entity Type:Individual
Prefix:
First Name:RIGOBERTO
Middle Name:
Last Name:NUNEZ DIAZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NW 57TH AVE APT 54
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4831
Mailing Address - Country:US
Mailing Address - Phone:305-345-5398
Mailing Address - Fax:
Practice Address - Street 1:501 NW 57TH AVE APT 54
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4831
Practice Address - Country:US
Practice Address - Phone:305-345-5398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9442815363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily