Individual provider Active NPI

Jacqueline Denise Nunez, MD

  • Family Medicine Physician
  • Jupiter, FL
National Provider Identifier
1316031313
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME126589 Issued in FL
Practice address
16104 Robin Way
Jupiter, FL 33478-6334
Phone
(561) 277-9661
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME126589 FL Primary

Addresses

Primary practice location

16104 Robin Way
Jupiter, FL 33478-6334

Mailing address

16104 Robin Way
Jupiter, FL 33478-6334
Phone (561) 277-9661

Other identifiers 1

IdentifierTypeStateIssuer
ME126589OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170919003513 FL Practitioner - Family Practice 6406872308 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126589FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of South Florida, Inc CurrentSince Dec 2, 2025 Accepting new patients
Seraphim Medical, LLC CurrentSince Jun 23, 2024 Accepting new patients
American Care of South Florida, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Transformative Medical Care of Palm Beach County,LLC Family Medicine PastSince Mar 1, 2017 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

818 S Dixie Hwy
Lake Worth Beach, FL 33460
Phone (561) 296-4400

6200 Pembroke Rd
Miramar, FL 33023
Phone (954) 961-7100

Organizations & group practices 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1316031313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16104 ROBIN WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786334",
            "telephone_number": "561-277-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16104 ROBIN WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786334",
            "telephone_number": "561-277-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "JACQUELINE",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME126589",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.