Provider Demographics
NPI:1992033823
Name:CYNTHIA LUNA-SALAZAR, MD, PA
Entity Type:Organization
Organization Name:CYNTHIA LUNA-SALAZAR, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNA-SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-425-1368
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3846207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208700901Medicaid
TX0A5554Medicare PIN