Healthcare Provider Details

I. General information

NPI: 1326134792
Provider Name (Legal Business Name): NEIDA NUNEZ-COLON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NEIDA NUNEZ DE ASMAR M.D.

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E10 AVE RAMIREZ DE ARELLANO GARDEN HILLS
GUAYNABO PR
00966-2811
US

IV. Provider business mailing address

PO BOX 12161 LOIZA STREET STATION
SAN JUAN PR
00914-0161
US

V. Phone/Fax

Practice location:
  • Phone: 787-783-2353
  • Fax:
Mailing address:
  • Phone: 787-783-2353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1223
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: