Provider Demographics
NPI:1356611859
Name:NUNEZ GERMOSEN, YANILDA MARIA (MD)
Entity type:Individual
Prefix:
First Name:YANILDA
Middle Name:MARIA
Last Name:NUNEZ GERMOSEN
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 1:3001 N 23RD ST STE 6
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6179
Mailing Address - Country:US
Mailing Address - Phone:956-630-7273
Mailing Address - Fax:956-630-7274
Practice Address - Street 1:3001 N 23RD ST STE 6
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6179
Practice Address - Country:US
Practice Address - Phone:210-901-0052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-31
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9670207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX336415001Medicaid
TX336415001Medicaid