MEDICARE: TANYA VICTORIA NUNEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	4488	FL

General Provider Information

NPI Number	:	1639781214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA VICTORIA NUNEZ

Provider Business Mailing Address
First Line	:	4925 SW 144TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5062
Country	:	US
Telephone Number	:	786-278-1666
Fax Number	:

Provider Business Practice Location Address
First Line	:	10920 SW 184TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6608
Country	:	US
Telephone Number	:	305-378-5775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	08/17/2020

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Directions to “ TANYA VICTORIA NUNEZ ” Practice Location

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