1861386112 NPI number — MRS. PAULINA DEL CARMEN LUNA INIGUEZ M.D.

Table of content: MRS. PAULINA DEL CARMEN LUNA INIGUEZ M.D. (NPI 1861386112)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861386112 NPI number — MRS. PAULINA DEL CARMEN LUNA INIGUEZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUNA INIGUEZ
Provider First Name:
PAULINA
Provider Middle Name:
DEL CARMEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861386112
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AVENIDA COMONFORT 452, CONJUNTO TORRE VIEJA
Provider Second Line Business Mailing Address:
INTERIOR 12
Provider Business Mailing Address City Name:
METEPEC
Provider Business Mailing Address State Name:
MEXICO
Provider Business Mailing Address Postal Code:
52177
Provider Business Mailing Address Country Code:
MX
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 UNIVERSITY OF NEW MEXICO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-6225
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  RS20250181 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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