Provider Demographics
NPI:1790576486
Name:NUNEZ, ALYSSA ELEANA
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ELEANA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 BABCOCK RD STE 238-5
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4708
Mailing Address - Country:US
Mailing Address - Phone:830-570-1967
Mailing Address - Fax:830-570-1967
Practice Address - Street 1:1603 BABCOCK RD STE 238-5
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4708
Practice Address - Country:US
Practice Address - Phone:830-570-1967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program