Provider Demographics
NPI:1831948959
Name:COLMENERO-NUNO, OSCAR ISAAC (ATC)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:ISAAC
Last Name:COLMENERO-NUNO
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 CLAYMONT ST APT 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6809
Mailing Address - Country:US
Mailing Address - Phone:702-289-2807
Mailing Address - Fax:
Practice Address - Street 1:4235 CLAYMONT ST APT 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6809
Practice Address - Country:US
Practice Address - Phone:702-289-2807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer