Provider Demographics
NPI:1104273812
Name:NUNEZ MEDINA, HECTOR JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JOSE
Last Name:NUNEZ MEDINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360423
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0423
Mailing Address - Country:US
Mailing Address - Phone:787-310-8854
Mailing Address - Fax:
Practice Address - Street 1:1716 CALLE PARANA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3148
Practice Address - Country:US
Practice Address - Phone:787-766-2200
Practice Address - Fax:787-766-8548
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21855207R00000X, 207RC0000X
PR33810207R00000X
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program