MEDICARE: DR. NESTOR MIGUEL UNGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	14653	PR
2	207R00000X	Internal Medicine Physician	ME 86319	FL
3	207RN0300X	Nephrology Physician	14653	PR
4	207RN0300X	Nephrology Physician	ME 86319	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	601777	OTHER	PR	MEDICARE Y MUCHO MAS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7370012	OTHER	PR	HUMANA HEALTH PLANS
3	2-1574UN	OTHER	PR	SSS

General Provider Information

NPI Number	:	1003810516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NESTOR MIGUEL UNGER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1705
Second Line	:
City	:	AIBONITO
State	:	PR
Zip	:	00705-1705
Country	:	US
Telephone Number	:	787-649-2020
Fax Number	:	787-954-0607

Provider Business Practice Location Address
First Line	:	58 CALLE RAMON FLORES
Second Line	:
City	:	AIBONITO
State	:	PR
Zip	:	00705-1705
Country	:	US
Telephone Number	:	787-649-2020
Fax Number	:	787-954-0607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	12/03/2013

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