Provider Demographics
NPI:1023456688
Name:LUNA, CARLOS FRANCISCO (PSYD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:FRANCISCO
Last Name:LUNA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:#142 JOSE CELSO BARBOSA
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676
Mailing Address - Country:US
Mailing Address - Phone:939-865-9653
Mailing Address - Fax:787-877-6844
Practice Address - Street 1:142 CALLE JOSE C BARBOSA
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4105
Practice Address - Country:US
Practice Address - Phone:939-865-9653
Practice Address - Fax:787-877-6844
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4567103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical