Provider Demographics
NPI:1114578390
Name:LUCIO, CLAUDIA ANGELICA
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ANGELICA
Last Name:LUCIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 W BUSINESS 83
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-3521
Mailing Address - Country:US
Mailing Address - Phone:956-230-5135
Mailing Address - Fax:
Practice Address - Street 1:208 STARR ST
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2734
Practice Address - Country:US
Practice Address - Phone:956-514-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2023-10-19
Deactivation Date:2023-09-12
Deactivation Code:
Reactivation Date:2023-09-20
Provider Licenses
StateLicense IDTaxonomies
224Z00000X
TXRBT-19-84774106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician