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1497721641 NPI number — LUIS D CORREA LUNA MD

NPI Number: 1497721641
Health Care Provider/Practitioner: LUIS D CORREA LUNA MD

Information about “1497721641” NPI (LUIS D CORREA LUNA MD) exists in 1497721641 in HTML format HTML  |  1497721641 in plain Text format TXT  |  1497721641 in PDF (Portable Document Format) PDF  |  1497721641 in an XML format XML  formats.

NPI Number : 1497721641 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497721641",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORREA LUNA",
    "FirstName": "LUIS",
    "MiddleName": "D",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CORREA LUNA",
    "OtherFirstName": "LUIS",
    "OtherMiddleName": "DANIEL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1506 S FRENCH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANFORD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32771-3374",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "321-257-0489",
    "MailingAddressFaxNumber": "321-257-0491",
    "FirstLinePracticeLocationAddress": "1506 S FRENCH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANFORD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32771-3374",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "321-257-0489",
    "PracticeLocationAddressFaxNumber": "321-257-0491",
    "EnumerationDate": "02/27/2006",
    "LastUpdateDate": "05/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "14342",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "ME126150",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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