Luz de Luna Medical Center, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

LUZ DE LUNA MEDICAL CENTER, PLLC

Doing business as

Mi Luz de Luna

Practice address

10657 Vista del Sol Dr Ste E
El Paso, TX 79935-4504

Phone

(915) 875-1200

Fax

(915) 629-7719

NPI assigned

Oct 29, 2010

Last updated

Jun 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Oscar R Quezada Jr., M.D.

Title

Owner/President

Phone

(915) 875-1200

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MI LUZ DE LUNA Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1255631800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10657 VISTA DEL SOL DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354504",
            "telephone_number": "915-875-1200",
            "fax_number": "915-629-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10657 VISTA DEL SOL DR STE E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354504",
            "telephone_number": "915-875-1200",
            "fax_number": "915-629-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ DE LUNA MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "915-875-1200",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2835480-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2835480-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEPS MEDICAID",
            "identifier": "2835480-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI LUZ DE LUNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxottica of America Inc. (Target Optical #2164)
• Luxottica Retail North America Inc (Sears Optical #1792)
• Luxur Health Services, Inc.
• Luz a. Candelaria,D.O.P.a.,Dba/Candelaria Medical Center
• Luz Chavez, Ibclc, LLC
• Luzviva Personal Care Services Inc.
• LV Counseling Services (LV Counseling Services PLLC)
• LW Care LLC (Live Well Home Care)
• Michelle Clarissa Lydon, SLP
• Veronica Lykins, DPT

• Obstetrics & Gynecology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.