Provider Demographics
NPI:1780081059
Name:NUNEZ CESPEDES, BELEN A (MD)
Entity type:Individual
Prefix:
First Name:BELEN
Middle Name:A
Last Name:NUNEZ CESPEDES
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 1:130 E 77TH ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1851
Mailing Address - Country:US
Mailing Address - Phone:929-220-6800
Mailing Address - Fax:
Practice Address - Street 1:3400 S CRATER RD STE B
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9252
Practice Address - Country:US
Practice Address - Phone:804-733-6960
Practice Address - Fax:804-733-3880
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101266086207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY314813OtherMEDICAL LICENCE
VA0101266086OtherVA LICENSE
VA0101266086OtherMEDICAL STATE LICENSE