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NPI 1760545602

NPI 1760545602 : RIGOBERTO M NUNEZ MDPA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1760545602
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIGOBERTO M NUNEZ MDPA 
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Dates
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    Enumeration Date     |    12/19/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    8900 SW 117TH AVE SUITE 101 B
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33186-2175
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    Country              |    US
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    Telephone            |    305-270-1910
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    Fax                  |    305-270-1810
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Provider Business Mailing Address
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    Address Line         |    8900 SW 117TH AVE SUITE 101 B
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33186-2175
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    Country              |    US
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    Telephone            |    305-270-1910
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    Fax                  |    305-270-1810
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. RIGOBERTO MARCIANO NUNEZ 
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    Credential           |    M.D.
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    Telephone            |    305-270-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2080A0000X
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    Taxonomy Name        |    Pediatric Adolescent Medicine Physician
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    License Number       |    ME34145
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    License Number State |    FL
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