Provider Demographics
NPI:1871263608
Name:LUNA, JOSE ENRIQUE II (RPHT)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ENRIQUE
Last Name:LUNA
Suffix:II
Gender:M
Credentials:RPHT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9255 GRISSOM RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-2805
Mailing Address - Country:US
Mailing Address - Phone:210-680-2958
Mailing Address - Fax:
Practice Address - Street 1:9255 GRISSOM RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-2805
Practice Address - Country:US
Practice Address - Phone:210-680-2958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician