MEDICARE: HECTOR DIAZ LUNA MD PA

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1639735525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HECTOR DIAZ LUNA MD PA

Provider Business Mailing Address
First Line	:	PO BOX 13330
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-3330
Country	:	US
Telephone Number	:	915-533-1789
Fax Number	:	915-533-7234

Provider Business Practice Location Address
First Line	:	5407 N MESA ST STE 101
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5468
Country	:	US
Telephone Number	:	915-533-1789
Fax Number	:	915-533-7234

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SYLVIA LARA
Credential	:
Telephone Number	:	915-533-1789

Provider Enumeration Date	:	05/15/2019
Last Update Date	:	07/05/2023

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