Provider Demographics
NPI:1205307188
Name:NUNEZ ARROYO, LUIS MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:MIGUEL
Last Name:NUNEZ ARROYO
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 1:2306 NORTH BLVD W
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-8975
Mailing Address - Country:US
Mailing Address - Phone:863-547-9200
Mailing Address - Fax:
Practice Address - Street 1:2306 NORTH BLVD W
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-8975
Practice Address - Country:US
Practice Address - Phone:863-547-9200
Practice Address - Fax:863-547-9221
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21175208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice