Healthcare Provider Details

I. General information

NPI: 1316867468
Provider Name (Legal Business Name): DR. DANIEL JOSE NAIM LUNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BROADWAY
CAMBRIDGE MA
02139
US

IV. Provider business mailing address

660 WASHINGTON ST APT 4G
BOSTON MA
02111-3202
US

V. Phone/Fax

Practice location:
  • Phone: 617-494-1166
  • Fax:
Mailing address:
  • Phone: 787-668-9665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHI5243
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: