| NPI | 1063809002 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2015-04-16 |
| Last Updated | 2020-10-28 |
| Mailing Address | Po Box 415348 Boston, MA 02241-5348 United States Phone: (800) 225-8885 | Fax: (508) 334-1977 📍 View Map |
| Primary Practice Address | 1 W Boylston St Worcester, MA 01605-1265 United States Phone: (508) 334-8802 | Fax: (508) 334-8803 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | MA | 276600 |
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About NPI 1063809002
Luna Hidaya M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063809002. The primary specialty listed is Internal Medicine. The provider is located in Worcester, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-04-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063809002?
NPI 1063809002 belongs to Luna Hidaya M.D., a Internal Medicine in Worcester, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063809002 active?
The current status of NPI 1063809002 in the NPPES registry is Active. The record was last updated on 2020-10-28.
What specialty is NPI 1063809002?
NPI 1063809002 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063809002?
You can verify NPI 1063809002 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063809002?
The primary practice address on file for NPI 1063809002 is 1 W Boylston St, Worcester, MA 01605-1265. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063809002 issued?
NPI 1063809002 was first issued (enumerated) on 2015-04-16. The NPPES record was last updated on 2020-10-28.
Practice Location Map
Luna Hidaya is located at 1 W Boylston St, Worcester, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Luna Hidaya. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063809002. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 276600 | MA |