NPIMap

Individual provider Active NPI

Edgard A Nunez, MD

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1477586204
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME84491 Issued in FL
Practice address
810 W Mowry Dr
Homestead, FL 33030-5746
Phone
(305) 242-6015
Fax
(305) 245-1161
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X ME84491 FL
Family Medicine Physician 207Q00000X ME84491 FL Primary

Addresses

Primary practice location

810 W Mowry Dr
Homestead, FL 33030-5746

Mailing address

810 W Mowry Dr
Homestead, FL 33030-5746
Phone (305) 242-6015

Other practice location 1

22790 SW 112th Ave
Miami, FL 33170-7602
Phone (305) 235-2616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109000648 FL Practitioner - Family Practice 3375566060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health of South Florida Inc 58 clinicians

Practice addresses (Care Compare)

820 SW 1St St
Homestead, FL 33030-6904
Phone (305) 248-6037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84491FLMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida, Inc CurrentSince Mar 14, 2010 Accepting new patients
Community Health of South Florida Inc Current Accepting new patients
Community Health of South Florida Inc CurrentSince Mar 14, 2010 Accepting new patients
Urgent Care Physicians of Tamiami LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Westchester LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients
Community Health of South Florida, Inc. Past Accepting new patients
Urgent Care Physicians of West Kendall LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC Emergency Medical Services PastSince Mar 26, 2023 Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

810 W Mowry Dr
Homestead, FL 33030
Phone (305) 242-6040

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1477586204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W MOWRY DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305746",
            "telephone_number": "305-242-6015",
            "fax_number": "305-245-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W MOWRY DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305746",
            "telephone_number": "305-242-6015",
            "fax_number": "305-245-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22790 SW 112th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331707602",
            "country_code": "US",
            "telephone_number": "305-235-2616",
            "fax_number": "305-235-6178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "EDGARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME84491",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME84491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.