Provider Demographics
NPI:1003810516
Name:UNGER, NESTOR MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:MIGUEL
Last Name:UNGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1705
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1705
Mailing Address - Country:US
Mailing Address - Phone:787-649-2020
Mailing Address - Fax:787-954-0607
Practice Address - Street 1:58 CALLE RAMON FLORES
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-1705
Practice Address - Country:US
Practice Address - Phone:787-649-2020
Practice Address - Fax:787-954-0607
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14653207R00000X, 207RN0300X
FLME 86319207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7370012OtherHUMANA HEALTH PLANS
PR601777OtherMEDICARE Y MUCHO MAS
PR2-1574UNOtherSSS
PR2-1574Medicare PIN
PR2-1574UNOtherSSS