Healthcare Provider Details

I. General information

NPI: 1780090241
Provider Name (Legal Business Name): JONATAN DAVID NUNEZ BRETON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2014
Last Update Date: 03/13/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE HEART CENTER AT MERCY 846 9TH AVENUE SE
CEDAR RAPIDS IA
52401
US

IV. Provider business mailing address

THE HEART CENTER AT MERCY 846 9TH AVENUE SE
CEDAR RAPIDS IA
52401
US

V. Phone/Fax

Practice location:
  • Phone: 319-832-2328
  • Fax: 319-832-1168
Mailing address:
  • Phone: 319-832-2328
  • Fax: 319-832-1168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD474472
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number19791
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD49245
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: