Individual
DR. LEOPOLDO R LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9 CALLE DOLORES, RIO GRANDE, PR 00745-3054
(787) 887-4746
(787) 887-4746
Mailing address
PO BOX 1149, RIO GRANDE, PR 00745-1149
(787) 887-4746
(787) 887-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1062
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046185
PR STATE DRUG LICENCE
PR
01
—
1062
STATE LICENCE
PR
01
—
40998
SSS HEALTH PLAN
PR
01
—
9164358
FEDERAL DRUG LICENCE
PR
Enumeration date
08/07/2006
Last updated
07/08/2007
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