Organization Active NPI

Jairo R Nunez MD PA

  • Psychiatry Physician
  • Winter Park, FL
National Provider Identifier
1336338417
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0065598 Issued in FL
Legal business name
JAIRO R NUNEZ MD PA
Practice address
1485 S Semoran Blvd
Suite 1454, BLDG. 6
Winter Park, FL 32792-5533
Phone
(407) 671-2258
Fax
(407) 671-2675
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Mrs. Teresa M Adams
Title
Manager
Phone
(407) 671-2258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0065598 FL Primary

Addresses

Primary practice location

1485 S Semoran Blvd
Suite 1454, BLDG. 6
Winter Park, FL 32792-5533

Mailing address

1485 S Semoran Blvd
Suite 1454, BLDG. 6
Winter Park, FL 32792-5533
Phone (407) 671-2258

National Provider Directory

National Provider Directory

Locations

1485 S Semoran Blvd
Ste 1454
Winter Park, FL 32792
Phone (407) 671-2258

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1336338417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 S SEMORAN BLVD",
            "address_2": "SUITE 1454, BLDG. 6",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925533",
            "telephone_number": "407-671-2258",
            "fax_number": "407-671-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 S SEMORAN BLVD",
            "address_2": "SUITE 1454, BLDG. 6",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925533",
            "telephone_number": "407-671-2258",
            "fax_number": "407-671-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIRO R NUNEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-671-2258",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0065598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.