Healthcare Provider Details

I. General information

NPI: 1467678557
Provider Name (Legal Business Name): HECTOR IVAN RODRIGUEZ-LUNA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date: 07/28/2026
Reactivation Date: 08/20/2026

III. Provider practice location address

9305 W THOMAS RD STE 500
PHOENIX AZ
85037-3354
US

IV. Provider business mailing address

9305 W THOMAS RD STE 500
PHOENIX AZ
85037-3354
US

V. Phone/Fax

Practice location:
  • Phone: 623-242-7997
  • Fax: 623-233-6699
Mailing address:
  • Phone: 623-242-7997
  • Fax: 623-233-6699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number26827
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: