Individual provider Active NPI

Eugenio Nunez, MD

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1184288839
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21343 Issued in PR
Practice address
55 Ave Font Martelo W
Humacao, PR 00791-3616
Phone
(787) 852-1770
NPI assigned
Apr 29, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21343 PR Primary

Addresses

Primary practice location

55 Ave Font Martelo W
Humacao, PR 00791-3616

Mailing address

PO Box 288
Gurabo, PR 00778-0288
Phone (787) 604-0388

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address optimalmedicalservices@outlokk.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719001270 PR Practitioner - General Practice 4385970912 Reassigns benefits to 1 organization
Practice locations: Humacao, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21343PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eunusi LLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

55 Calle Font Martelo W
Humacao, PR 00791
Phone (787) 360-9987

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1184288839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780288",
            "telephone_number": "787-604-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AVE FONT MARTELO W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913616",
            "telephone_number": "787-852-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "EUGENIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "optimalmedicalservices@outlokk.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "55 Ave Font Martelo W",
            "city": "Humacao",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007913616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.