Basic Information
| Provider Information | |||||||||
| NPI: | 1477107175 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NUNEZ-MORALES | ||||||||
| FirstName: | JOSE | ||||||||
| MiddleName: | FRANCISCO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | URB ALEMANY | ||||||||
| Address2: | 200 CALLE BUENA VISTA | ||||||||
| City: | MAYGUEZ | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874862516 | ||||||||
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| Practice Location | |||||||||
| Address1: | UNIVERSIDAD CENTRAL DEL CARIBE | ||||||||
| Address2: | AVE LAUREL SANTA JUANITA | ||||||||
| City: | BAYAMON | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009606032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877983001 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2019 | ||||||||
| LastUpdateDate: | 02/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208D00000X | 34936R | PR | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.