Provider Demographics
NPI:1053555722
Name:ACUNA-NARVAEZ, PERLITA G (MD)
Entity type:Individual
Prefix:DR
First Name:PERLITA
Middle Name:G
Last Name:ACUNA-NARVAEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MOUNTAINVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LA JUNTA
Mailing Address - State:CO
Mailing Address - Zip Code:81050-3317
Mailing Address - Country:US
Mailing Address - Phone:719-384-6559
Mailing Address - Fax:
Practice Address - Street 1:15 MOUNTAINVIEW DR
Practice Address - Street 2:
Practice Address - City:LA JUNTA
Practice Address - State:CO
Practice Address - Zip Code:81050-3317
Practice Address - Country:US
Practice Address - Phone:719-384-6559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-26
Last Update Date:2009-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO26735208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice