Provider Demographics
NPI:1851330989
Name:NUNEZ, RUBEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:J
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15260 SW 280TH ST
Mailing Address - Street 2:116
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8185
Mailing Address - Country:US
Mailing Address - Phone:786-504-8732
Mailing Address - Fax:786-504-8736
Practice Address - Street 1:15260 SW 280TH ST
Practice Address - Street 2:116
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8185
Practice Address - Country:US
Practice Address - Phone:786-504-8732
Practice Address - Fax:786-504-8736
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2015-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME68512208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27207BMedicare ID - Type UnspecifiedPROVIDER #
FLG15240Medicare UPIN