Provider Demographics
NPI:1144494121
Name:NAPOLES, LUIS
Entity type:Individual
Prefix:MR
First Name:LUIS
Middle Name:
Last Name:NAPOLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 BRAE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3844
Mailing Address - Country:US
Mailing Address - Phone:210-520-5540
Mailing Address - Fax:210-520-5540
Practice Address - Street 1:8815 BRAE RIDGE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3844
Practice Address - Country:US
Practice Address - Phone:210-520-5540
Practice Address - Fax:210-520-5540
Is Sole Proprietor?:No
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111127172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker