Provider Demographics
NPI:1386773364
Name:LUNA Y SOL MIDWIFERY, SERVICIOS DE PARTERIA
Entity type:Organization
Organization Name:LUNA Y SOL MIDWIFERY, SERVICIOS DE PARTERIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:505-243-6116
Mailing Address - Street 1:2303 MEADOW RD SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87105-4916
Mailing Address - Country:US
Mailing Address - Phone:505-243-6116
Mailing Address - Fax:
Practice Address - Street 1:2303 MEADOW RD SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105-4916
Practice Address - Country:US
Practice Address - Phone:505-243-6116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175M00000XOther Service ProvidersMidwife, LayGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM82302561Medicaid