Active NPI
Elba Nunez, MD
- Pediatrics Physician
- Lake Worth, FL
National Provider Identifier
1104964667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0067667
- Practice address
- 2925 10TH Ave N
Suite 106
Lake Worth, FL 33461-3000 - Phone
- (561) 969-9252
- Fax
- (561) 969-9257
- NPI assigned
- Feb 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0067667 | FL | Primary |
Addresses
Primary practice location
2925 10TH Ave N
Suite 106
Lake Worth, FL 33461-3000
Mailing address
2925 10TH Ave N
Suite 106
Lake Worth, FL 33461-3000
Phone (561) 969-9252
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240623 | Other | FL | AMERIGROUP |
| 000004205376 | Other | FL | HEALTHY PALM BEACHES |
| SG07476F500 | Other | FL | VISTA |
| 26724 | Other | FL | BLUECROSS AND BLUESHIELD |
Other names 1
- Dr. Elba Gadea de Nunez
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0067667 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joaquin a. Nunez,MD,PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Lake Worth, FL
- NPI 1336206689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104964667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 10TH AVE N",
"address_2": "SUITE 106",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334613000",
"telephone_number": "561-969-9252",
"fax_number": "561-969-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 10TH AVE N",
"address_2": "SUITE 106",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334613000",
"telephone_number": "561-969-9252",
"fax_number": "561-969-9257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "ELBA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0067667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "240623",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY PALM BEACHES",
"identifier": "000004205376",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "SG07476F500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS AND BLUESHIELD",
"identifier": "26724",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELBA",
"last_name": "GADEA DE NUNEZ",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.