MEDICARE: PEDRO J NUNEZ 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	207Q00000X	Family Medicine Physician	2005-01323	NC

General Provider Information

NPI Number	:	1558338830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO J NUNEZ M.D.

Provider Business Mailing Address
First Line	:	256 TOWNE VILLAGE DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-8910
Country	:	US
Telephone Number	:	919-460-2015
Fax Number	:	919-460-2016

Provider Business Practice Location Address
First Line	:	256 TOWNE VILLAGE DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-8910
Country	:	US
Telephone Number	:	919-460-2015
Fax Number	:	919-460-2016

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

Provider Enumeration Date	:	03/04/2006
Last Update Date	:	02/07/2018

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