| Luna Primary Care Inc | |
|
27 Congress St Unit 1502 Salem MA 01970-7309 | |
| (781) 288-5862 | |
| Not Available |
| Full Name | Luna Primary Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 27 Congress St Unit 1502, Salem, Massachusetts |
| Authorized Official Name and Position | Jose Aguilar (PRESIDENT) |
| Authorized Official Contact | 7816906797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Primary Care Inc 14 Allston St Apt 1 Revere MA 02151-5271 Ph: (781) 690-6797 | Luna Primary Care Inc 27 Congress St Unit 1502 Salem MA 01970-7309 Ph: (781) 288-5862 |
| NPI Number | 1982412524 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 05/27/2025 |
| Medicare PECOS PAC ID | 5193255669 |
|---|---|
| Medicare Enrollment ID | O20250213000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982412524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jose Aristides Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972238897 PECOS PAC ID: 7810427382 Enrollment ID: I20250213000262 |
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