Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Luque, CSA-FA

Individual provider Surgical Technologist · NPI 1316139694

Mario Luque, CSA-FA is a Surgical Technologist in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3078 Clairmont Rd NE Apt 522
Atlanta, GA 30329-1666
Phone: (404) 668-6112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X

Record details

NPI number1316139694
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA-FA
Sole proprietorYes
NPI enumeratedAugust 10, 2007
Last updated in NPPESAugust 10, 2007
Mailing address3078 Clairmont Rd Ne Apt 522, Atlanta, GA 30329-1666

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