Provider Demographics
NPI:1598967366
Name:LUNA-SALAZAR, CYNTHIA (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:LUNA-SALAZAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 S CAROLINA ST STE B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8306
Mailing Address - Country:US
Mailing Address - Phone:956-425-1368
Mailing Address - Fax:956-425-1408
Practice Address - Street 1:1722 S CAROLINA ST STE B
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8306
Practice Address - Country:US
Practice Address - Phone:956-425-1368
Practice Address - Fax:956-425-1408
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3846207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208701701Medicaid
TX208701701Medicaid