Provider Demographics
NPI:1902369929
Name:NUNEZ DE LA VEGA, MARIA FERNANDA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:FERNANDA
Last Name:NUNEZ DE LA VEGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 GRIDER ST BLDG 3
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3021
Mailing Address - Country:US
Mailing Address - Phone:716-898-3627
Mailing Address - Fax:716-898-5029
Practice Address - Street 1:462 GRIDER STREET
Practice Address - Street 2:ERIE COUNTY MEDICAL CENTER - DK MILLER BLDG., 3RD FLOOR
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-898-3627
Practice Address - Fax:716-898-5029
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program