MEDICARE: DAVID R BERMUDEZ NUNEZ MD

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	207RC0000X	Cardiovascular Disease Physician	13096	PR

General Provider Information

NPI Number	:	1215970405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R BERMUDEZ NUNEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 3736
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-3736
Country	:	US
Telephone Number	:	787-892-4965
Fax Number	:	787-264-2340

Provider Business Practice Location Address
First Line	:	100 CALLE HERNAN ALVAREZ
Second Line	:	EDIFICIO PLAZA METROPOLITANA, OFICINA 104
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-4173
Country	:	US
Telephone Number	:	787-892-4965
Fax Number	:	787-264-2340

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	04/09/2020

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