Individual provider Active NPI

William A Nunez, DMD

  • General Practice Dentistry
  • Vega Alta, PR
National Provider Identifier
1760474720
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1939 Issued in PR
Practice address
KM 29.4 State Road #2
Nunez Plaza Building
Vega Alta, PR 00692-1627
Phone
(787) 883-8846
Fax
(787) 883-8846
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1939 PR Primary

Addresses

Primary practice location

KM 29.4 State Road #2
Nunez Plaza Building
Vega Alta, PR 00692-1627

Mailing address

PO Box 1627
Vega Alta, PR 00692-1627
Phone (787) 883-8846

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717000865 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1759693831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1939PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oficina Dental Laser Dr. Nunez, P.S.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1760474720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921627",
            "telephone_number": "787-883-8846",
            "fax_number": "787-883-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM 29.4 STATE ROAD #2",
            "address_2": "NUNEZ PLAZA BUILDING",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921627",
            "telephone_number": "787-883-8846",
            "fax_number": "787-883-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.