Lourdes Nunez Md Pa | |
12002 Sw 128th Ct Suite 210 Miami FL 33186-4639 | |
(305) 234-8321 | |
(305) 234-8358 |
Full Name | Lourdes Nunez Md Pa |
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Speciality | General Practice |
Location | 12002 Sw 128th Ct, Miami, Florida |
Authorized Official Name and Position | Karem Toribio (OFFICE MANAGER) |
Authorized Official Contact | 3052348321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lourdes Nunez Md Pa 12002 Sw 128th Ct Suite 210 Miami FL 33186-4639 Ph: (305) 234-8321 | Lourdes Nunez Md Pa 12002 Sw 128th Ct Suite 210 Miami FL 33186-4639 Ph: (305) 234-8321 |
NPI Number | 1164625067 |
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Provider Enumeration Date | 06/07/2007 |
Last Update Date | 09/21/2011 |
Medicare PECOS PAC ID | 2365532082 |
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Medicare Enrollment ID | O20071219000257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164625067 | NPI | - | NPPES |
055445600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME60074 (Florida) | Primary |
Provider Name | Lourdes Nunez |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1649213638 PECOS PAC ID: 5294723656 Enrollment ID: I20040504000965 |
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