| Jonathan Dela Luna, Md, Llc | |
|
2180 Mendon Rd Ste 21 Cumberland RI 02864-3825 | |
| (401) 333-3810 | |
| Not Available |
| Full Name | Jonathan Dela Luna, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2180 Mendon Rd Ste 21, Cumberland, Rhode Island |
| Authorized Official Name and Position | Jonathan Villas Dela Luna (MEMBER) |
| Authorized Official Contact | 4013333810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Dela Luna, Md, Llc 2180 Mendon Rd Ste 21 Cumberland RI 02864-3825 Ph: (401) 333-3810 | Jonathan Dela Luna, Md, Llc 2180 Mendon Rd Ste 21 Cumberland RI 02864-3825 Ph: (401) 333-3810 |
| NPI Number | 1366957631 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 12/08/2017 |
| Medicare PECOS PAC ID | 7315209061 |
|---|---|
| Medicare Enrollment ID | O20180319000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366957631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD14529 (Rhode Island) | Primary |
| Provider Name | Jonathan V Dela Luna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649591421 PECOS PAC ID: 8426278953 Enrollment ID: I20141006001509 |
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