Provider Demographics
NPI:1427051150
Name:NUNAG, CLEMENTE PINEDA (MD)
Entity type:Individual
Prefix:DR
First Name:CLEMENTE
Middle Name:PINEDA
Last Name:NUNAG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10222 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-8375
Mailing Address - Country:US
Mailing Address - Phone:352-597-9797
Mailing Address - Fax:352-597-5556
Practice Address - Street 1:10222 YALE AVE
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-8375
Practice Address - Country:US
Practice Address - Phone:352-597-9797
Practice Address - Fax:352-597-5556
Is Sole Proprietor?:No
Enumeration Date:2005-05-26
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME33352207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D82382Medicare UPIN