MEDICARE: MARIA LUNA T NAVARRO, M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4387523	OTHER		AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457387821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARIA LUNA T NAVARRO, M.D.

Provider Business Mailing Address
First Line	:	PO BOX 193
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25321-0193
Country	:	US
Telephone Number	:	304-965-5888
Fax Number	:	304-965-3882

Provider Business Practice Location Address
First Line	:	5 ELK PLZ
Second Line	:
City	:	ELKVIEW
State	:	WV
Zip	:	25071-9602
Country	:	US
Telephone Number	:	304-965-5888
Fax Number	:	304-965-3882

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARIA LUNA NAVARRO
Credential	:	M.D.
Telephone Number	:	304-965-5888

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	08/22/2020

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