MEDICARE: DR. JOSE LUNA JR. M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G6207	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1831267079	OTHER	TX	NPI-GROUP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1700877255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE LUNA JR. M.D.

Provider Business Mailing Address
First Line	:	8061 ALAMEDA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79915-4705
Country	:	US
Telephone Number	:	915-859-7545
Fax Number	:	915-859-9862

Provider Business Practice Location Address
First Line	:	8061 ALAMEDA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79915-4705
Country	:	US
Telephone Number	:	915-859-7545
Fax Number	:	915-859-9862

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	07/15/2014

8061 ALAMEDA AVE. , SUITE B-3
EL PASO, TX
79915-4705

Practice Phone: 915-859-7545
Practice Fax: 915-859-9862