Provider Demographics
NPI:1922198837
Name:NUNES, BELARMINO AUGUSTO (MD)
Entity Type:Individual
Prefix:
First Name:BELARMINO
Middle Name:AUGUSTO
Last Name:NUNES
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 1:1637 MINERAL SPRING AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-4042
Mailing Address - Country:US
Mailing Address - Phone:401-354-4100
Mailing Address - Fax:401-354-4104
Practice Address - Street 1:1637 MINERAL SPRING AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4042
Practice Address - Country:US
Practice Address - Phone:401-354-4100
Practice Address - Fax:401-354-4104
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI5411207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9000433Medicaid
RIC90094Medicare UPIN
RI019000433Medicare ID - Type Unspecified