Provider Demographics
NPI:1497177257
Name:LUVIAN, JOSE
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:LUVIAN
Suffix:
Gender:M
Credentials:
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 473
Mailing Address - Street 2:
Mailing Address - City:CHAMBERINO
Mailing Address - State:NM
Mailing Address - Zip Code:88027-0473
Mailing Address - Country:US
Mailing Address - Phone:915-329-9007
Mailing Address - Fax:
Practice Address - Street 1:134 N LOPEZ
Practice Address - Street 2:
Practice Address - City:CHAMBERINO
Practice Address - State:NM
Practice Address - Zip Code:88027
Practice Address - Country:US
Practice Address - Phone:915-329-9007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator