Marisol Luna, TAC-III, TFC-III

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

07-39-2057 Issued in FL

Practice address

Comunidad William Fuertes
Calle 3 P73 B Bo Palmas
Catano, PR 00962

Phone

(787) 462-1101

NPI assigned

May 13, 2021

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comunidad Viva Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Catano, PR
  • NPI 1386449205
  NPD Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1568036606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 46 BOX 5560",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469611",
            "telephone_number": "787-462-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMUNIDAD WILLIAM FUERTES",
            "address_2": "CALLE 3 P73 B BO PALMAS",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00962",
            "telephone_number": "787-462-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "MARISOL",
        "credential": "TAC-III, TFC-III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "05-20-2057",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "07-39-2057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRBO CORP",
            "identifier": "TFC-III-07-39-2057",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRBO CORP.",
            "identifier": "TAC-III-05-20-2057",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julio Santos (Farmacia Sandin)
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• Kci Medical Puerto Rico, Inc. (Solventum Advanced Wound Care Puerto Rico)
• Laboratorio Clinico Luzmar LLC Laboratorio Clinico Aymat
• Life Medical Group
• Yolanda Melendez Alers, DIETITIAN
• Evelyn Melendez, SW
• Rosa D Melendez
• Magdalena Mercado
• Metropolitan Durable Equipment Corp.

• Professional Counselor in Catano, PR
• Providers in Catano, PR by specialty
• Professional Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.