Healthcare Provider Details

I. General information

NPI: 1780811653
Provider Name (Legal Business Name): ROLANDO ALEX NUNEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 S MIAMI AVE STE 4006
MIAMI FL
33133-4231
US

IV. Provider business mailing address

3659 S MIAMI AVE STE 4006
MIAMI FL
33133-4231
US

V. Phone/Fax

Practice location:
  • Phone: 786-981-3290
  • Fax: 754-714-2334
Mailing address:
  • Phone: 786-981-3290
  • Fax: 754-714-2334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA102234
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberME110214
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: