Provider Demographics
NPI:1285063875
Name:LUNA-CABRERA, ALEJANDRO (CSFA/LSA)
Entity type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:
Last Name:LUNA-CABRERA
Suffix:
Gender:M
Credentials:CSFA/LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 PAWTUCKET RD
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-2414
Mailing Address - Country:US
Mailing Address - Phone:210-965-3505
Mailing Address - Fax:210-965-3505
Practice Address - Street 1:2909 PAWTUCKET RD
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-2414
Practice Address - Country:US
Practice Address - Phone:210-965-3505
Practice Address - Fax:210-965-3505
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00539246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant