Individual provider Active NPI

Leonardo Nunez, DC

  • Chiropractor
  • Saint Cloud, FL
National Provider Identifier
1093536880
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15232 Issued in FL
Practice address
4028 13TH St
Saint Cloud, FL 34771
Phone
(407) 957-9995
NPI assigned
Oct 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH15232 FL Primary

Addresses

Primary practice location

4028 13TH St
Saint Cloud, FL 34771

Mailing address

6412 Pine Fork Ally
St Cloud, FL 34771
Phone (321) 442-1942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Lake Chiropractic and Injury Center Inc Chiropractor CurrentSince Sep 25, 2024 Accepting new patients
East Lake Chiropractic & Medical Center, Inc. Single Specialty CurrentSince Oct 27, 2024 Accepting new patients
Stuber Chiropractic & Acupuncture LLC Chiropractor PastSince Sep 25, 2024 Accepting new patients

Locations

4028 13th St
Saint Cloud, FL 34769
Phone (407) 744-7539

4044 13th St
Saint Cloud, FL 34769
Phone (407) 957-9995

4435 13th St
Saint Cloud, FL 34769
Phone (407) 957-9995

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1093536880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 PINE FORK ALLY",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34771",
            "telephone_number": "321-442-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34771",
            "telephone_number": "407-957-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "LEONARDO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.