Provider Demographics
NPI:1861689804
Name:NUNEZ, RENE ADAN (RT (R) (ARRT))
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:ADAN
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:RT (R) (ARRT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 E LOS ROBLES ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2418
Mailing Address - Country:US
Mailing Address - Phone:520-370-5334
Mailing Address - Fax:
Practice Address - Street 1:3601 SOUTH 6TH AVENUE (9-05)
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCRT 14103247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist