Healthcare Provider Details

I. General information

NPI: 1528981586
Provider Name (Legal Business Name): JOSE NUNEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 154
GARFIELD NM
87936-0154
US

IV. Provider business mailing address

PO BOX 154 7110 HWY 187, GARFIELD, NM 87936
GARFIELD NM
87936-0154
US

V. Phone/Fax

Practice location:
  • Phone: 210-464-1516
  • Fax:
Mailing address:
  • Phone: 210-464-1516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: