Provider Demographics
NPI:1366118598
Name:LUNA, JOSHUA ABRAHAM (QRP)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ABRAHAM
Last Name:LUNA
Suffix:
Gender:M
Credentials:QRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4836
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-4836
Mailing Address - Country:US
Mailing Address - Phone:956-550-9900
Mailing Address - Fax:956-550-8839
Practice Address - Street 1:864 CENTRAL BLVD STE 500A
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7521
Practice Address - Country:US
Practice Address - Phone:956-550-9900
Practice Address - Fax:956-550-8839
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93846225CA2400X, 247200000X
247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX93846OtherASSISTIVE TECHNOLOGY PROFESSIONAL