Healthcare Provider Details

I. General information

NPI: 1578880951
Provider Name (Legal Business Name): LINA CELESTE NUNEZ RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONDOMINIO TABAIBA TOWER 259 CALLE CAGUANA APT 404
PONCE PR
00716
US

IV. Provider business mailing address

CONDOMINIO TABAIBA TOWER 259 CALLE CAGUANA APT 404
PONCE PR
00716
US

V. Phone/Fax

Practice location:
  • Phone: 787-901-0367
  • Fax:
Mailing address:
  • Phone: 787-901-0367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1039
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: