Andrew Luque
Individual provider Active NPI Case Manager/Care Coordinator · Quincy, MA
NPI 1508007873 · NPPES record last updated Mar 17, 2009
Key facts
- NPI
- 1508007873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 859 Willard St
Suite 430
Quincy, MA 02169-7482 - Phone
- (617) 847-1950
- Fax
- (617) 774-1490
- NPI assigned
- Mar 17, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Mental Health Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
859 Willard St
Suite 430
Quincy, MA 02169-7482
Mailing address
859 Willard St
Suite 430
Quincy, MA 02169-7482
Phone (617) 847-1950
Other providers in Quincy, MA
- Lumen Christi Health Care Inc
- Lumiere Dental Spa, LLC
- Lily Luo
- Xuan Luo
- My Phu Luong
- David Paul Lustbader
- Michelle Luster
- Talitha Anne Lutes
- Viktoriya Lutsiv
- Lux Dental
All providers in Quincy, MA · Case Manager/Care Coordinator in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.