Juan Rudy Nunez, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9863 Issued in PR

Practice address

860 Camp Rd
Cocoa, FL 32927-3708

Phone

(321) 690-1550

NPI assigned

Jun 8, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1912100595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MANCHESTER DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556783",
            "telephone_number": "786-566-7533",
            "fax_number": "321-633-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 CAMP RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329273708",
            "telephone_number": "321-690-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "JUAN",
        "middle_name": "RUDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "9863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilia Nikolayev, M.D.
• Naja Noch, BT
• North Brevard Medical Support, Inc
• Ayla J Noyola
• Cynthia Ann Nuckols
• Janis Elaine Oenbrink, FNP-C
• Gary Chee Seng Oh, BSC. M.D. DIPABLM
• Kiara Oliveira
• Margaret Clare Oliver, RBT
• Pamela Joyce Owens

• Internal Medicine Physician in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.