Domineque D Nunez

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

07001473 Issued in NM

Practice address

Exti 102 Off I - 40 1/2 Mi South
San Fidel, NM 87049-0130

Phone

(505) 552-5385

Fax

(505) 552-9473

NPI assigned

Mar 3, 2009

Last updated

Mar 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1073753133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "870490130",
            "telephone_number": "505-552-5385",
            "fax_number": "505-552-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXTI 102 OFF I - 40 1/2 MI SOUTH",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "870490130",
            "telephone_number": "505-552-5385",
            "fax_number": "505-552-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "DOMINEQUE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NM",
            "license": "07001473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jeanne Lyon, PHARMD
• Jackie A Mackey
• Teresa Yvonne Makowski, PHD
• William George Morningstar, DDS
• Francine M Morris, RN
• Jullliene Reed-Tso, LCSW
• Susan Ann Russell, RPH
• Melissa M Salinas, PAC
• Mona Sarrai, M.D.
• Linda Maurine Schultz, M.D.

• Basic Emergency Medical Technician in San Fidel, NM
• Providers in San Fidel, NM by specialty
• Basic Emergency Medical Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.