Individual
HECTOR R. NUNEZ JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4731
(401) 769-4100
Mailing address
115 W SQUANTUM ST APT 318, QUINCY, MA 02171-2114
(401) 854-8019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01670
RI
363A00000X
Physician Assistant
PA101049
MA
363AM0700X
Medical Physician Assistant
Primary
PA01670
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110216081A
—
MA
Enumeration date
01/18/2023
Last updated
04/21/2026
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