Healthcare Provider Details

I. General information

NPI: 1225991086
Provider Name (Legal Business Name): NN PRIMARY AND PREVENTIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LOCAL 204 CAROLINA SHOPPING COURT #10000
CAROLINA PR
00985-5672
US

IV. Provider business mailing address

1A CONDOMINIO LUCERNA APT 2J
CAROLINA PR
00983-1747
US

V. Phone/Fax

Practice location:
  • Phone: 787-523-1162
  • Fax: 787-523-1164
Mailing address:
  • Phone: 787-523-1162
  • Fax: 787-523-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: NAYSHA PRISCILLA NUNEZ
Title or Position: OWNER
Credential: MD
Phone: 787-329-4474