MEDICARE: J J NUNEZ M D P A

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	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1295756187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J J NUNEZ M D P A

Provider Business Mailing Address
First Line	:	PO BOX 310235
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33231-0235
Country	:	US
Telephone Number	:	954-967-0107
Fax Number	:	954-967-0109

Provider Business Practice Location Address
First Line	:	7031 SW 62ND AVE
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4701
Country	:	US
Telephone Number	:	954-967-0107
Fax Number	:	954-967-0109

Authorized Official
Title or Position	:	OWNER
Name	:	JULIO J NUNEZ
Credential	:	M.D.
Telephone Number	:	954-967-0107

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	04/16/2009

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