Lourdes Lymarie Nunez Gonzalez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2450 Issued in PR

Practice address

528 Ave Andalucia
Puerto Nuevo
San Juan, PR 00920-4130

Phone

(787) 273-1410

Fax

(787) 706-1292

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1205846565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 AVE ANDALUCIA",
            "address_2": "PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204130",
            "telephone_number": "787-273-1410",
            "fax_number": "787-706-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 AVE ANDALUCIA",
            "address_2": "PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204130",
            "telephone_number": "787-273-1410",
            "fax_number": "787-706-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ GONZALEZ",
        "first_name": "LOURDES",
        "middle_name": "LYMARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuclear Imaging & Medicine PR LLC
• Nueva Vida de la Salud II
• Sergio Gabriel Nunez Baez
• Mirelsa Enid Nunez Caballero, PSY. D
• Sylvia Monserrate Nunez Fidalgo
• Hector Jose Nunez Medina, MD
• Cristina Maria Nunez Morales, MD
• Paola Marie Nunez Ramirez
• Xiomara Nunez Rodriguez
• Karen Nunez Schmidt, ND

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.