Provider Demographics
NPI:1801900758
Name:NUNEZ-RIOS, VIOLA (MD)
Entity type:Individual
Prefix:DR
First Name:VIOLA
Middle Name:
Last Name:NUNEZ-RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIOLA
Other - Middle Name:
Other - Last Name:NUNEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2307 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-1411
Mailing Address - Country:US
Mailing Address - Phone:512-422-4311
Mailing Address - Fax:
Practice Address - Street 1:400 AVE DOMENECH STE 511B
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-510-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11414261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center