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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUNA MEDICAL CLINIC PLLC
NPI 1043785736
Family Medicine in Port Isabel, TX

Active since October 09, 2018CLIA 45D2163984 · Waiver
112 W QUEEN ISABELLA BLVD STE C, PORT ISABEL, TX 78578(956) 524-0555(956) 524-0405 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Jul 19, 2026, Nov 20, 2018 and 1 more (4 updates tracked since 2018).

About Luna Medical Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUNA MEDICAL CLINIC PLLC (NPI 1043785736) is a healthcare organization registered as a family medicine in Port Isabel, Texas and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Hila Trevino, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043785736
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUNA MEDICAL CLINIC PLLC
Location Address112 W QUEEN ISABELLA BLVD STE CPort Isabel, TX 78578-2970
Mailing Address112 W Queen Isabella Blvd Ste CPort Isabel, TX 78578-2970 · (956) 524-0555 · Fax (956) 524-0405
Phone(956) 524-0555
Fax(956) 524-0405
Organization SubpartNo
Authorized OfficialHila TrevinoCredentialing Specialist · (956) 524-0555
Enumeration DateOctober 9, 2018
Last NPPES UpdateJuly 20, 20264 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1043785736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
112 W QUEEN ISABELLA BLVD STE C, Port Isabel, TX 78578
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2163984

Luna Medical Clinic PLLC · Port Isabel, TX
Active · expires Mar 24, 2027
CLIA Number45D2163984
Laboratory TypePractitioner Other
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorMartha Cano
Laboratory Phone(956) 524-0555
Laboratory LocationLuna Medical Clinic PLLC112 W Queen Isabella Blvd, Ste C, Port Isabel, TX 78578
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER THERESA ARELLANO
Family Medicine
112 W QUEEN ISABELLA BLVD STE C
PORT ISABEL, TX 78578
Cameron County (956) 524-0555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luna Medical Clinic PLLC's NPI number?

The NPI number for Luna Medical Clinic PLLC is 1043785736. It was assigned to this organization in the NPPES registry on October 9, 2018.

Where is Luna Medical Clinic PLLC located?

Luna Medical Clinic PLLC is located at 112 W Queen Isabella Blvd Ste C, Port Isabel, TX 78578. The listed phone number is (956) 524-0555.

What is Luna Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Luna Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2163984) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Luna Medical Clinic PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Luna Medical Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luna Medical Clinic PLLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.