Provider Demographics
NPI:1336206689
Name:JOAQUIN A. NUNEZ,MD,PA
Entity Type:Organization
Organization Name:JOAQUIN A. NUNEZ,MD,PA
Other - Org Name:JOAQUIN A. NUNEZ,MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-969-9252
Mailing Address - Street 1:2925 10TH AVE N
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461
Mailing Address - Country:US
Mailing Address - Phone:561-969-9252
Mailing Address - Fax:561-969-9257
Practice Address - Street 1:2925 10TH AVE N
Practice Address - Street 2:SUITE 106
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-3000
Practice Address - Country:US
Practice Address - Phone:561-969-9252
Practice Address - Fax:561-969-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL298440OtherAVMED
FL000004205376OtherHEALTHY PALM BEACHES
FL16758OtherWELLCARE
FL16758OtherHEALTHEASE FLORIDA
FL16758OtherSTAYWELL
FL26724OtherBLUECROSS AND BLUESHIELD
FL240623OtherAMERIGROUP
FL26725OtherBLUECROSS BLUESHIELD
FL207372OtherAMERIGROUP
FL8103245OtherCIGNA
FLSG07476F500OtherVISTA HEALTHPLANS
FL000004205377OtherHEALTHY PALM BEACHES
FLA59907-F500OtherVISTA HEALTHPLANS
FL26724OtherBLUECROSS AND BLUESHIELD
FL16758OtherWELLCARE
FL=========OtherHUMANA
FL8103245OtherCIGNA