MEDICARE: MICHAEL A NUNEZ M.D.

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	207L00000X	Anesthesiology Physician	41864	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902874936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A NUNEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 820
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80901-0820
Country	:	US
Telephone Number	:	719-448-0981
Fax Number	:	719-448-0767

Provider Business Practice Location Address
First Line	:	2215 N CASCADE AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-6736
Country	:	US
Telephone Number	:	719-776-5000
Fax Number	:	719-448-0767

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	10/11/2012

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