Provider Demographics
NPI:1972677946
Name:LIBUNAO, JOSE RENATO II (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:RENATO
Last Name:LIBUNAO
Suffix:II
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 COTTLE RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3734
Mailing Address - Country:US
Mailing Address - Phone:408-363-4801
Mailing Address - Fax:408-363-4813
Practice Address - Street 1:5831 COTTLE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3734
Practice Address - Country:US
Practice Address - Phone:408-363-4801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2316231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist