Provider Demographics
NPI:1811438674
Name:NUNEZ, VICTORIA MARIE (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:MARIE
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:MARIE
Other - Last Name:NUNEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6173 NIGHT FALL PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1068
Mailing Address - Country:US
Mailing Address - Phone:915-497-5303
Mailing Address - Fax:
Practice Address - Street 1:103 LIVINGSTON LOOP STE B1
Practice Address - Street 2:
Practice Address - City:SANTA TERESA
Practice Address - State:NM
Practice Address - Zip Code:88008-9747
Practice Address - Country:US
Practice Address - Phone:915-493-8264
Practice Address - Fax:915-493-8264
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPT6028225100000X
225100000X
TX1287623225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist