Healthcare Provider Details

I. General information

NPI: 1891484663
Provider Name (Legal Business Name): ISELMARIE NUNEZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 07/01/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB INDUSTRIAL REPARADA 2188 LOCAL A SUITE A PONCE BY PASS
PONCE PR
00716
US

IV. Provider business mailing address

URB. PASEOS DE JACARANDA 15355 CALLE LAUREL
SANTA ISABEL PR
00757
US

V. Phone/Fax

Practice location:
  • Phone: 787-844-4628
  • Fax:
Mailing address:
  • Phone: 787-202-6051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4634
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: