Individual provider Active NPI

Carlos M Gonzalez-Lugo, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1013102508
Registry record updated Sep 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14114 Issued in PR
Practice address
205 Calle San Justo
Apt. 2a
San Juan, PR 00901-1710
Phone
(787) 724-0017
NPI assigned
Sep 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14114 PR Primary

Addresses

Primary practice location

205 Calle San Justo
Apt. 2a
San Juan, PR 00901-1710

Mailing address

205 Calle San Justo
Apt. 2a
San Juan, PR 00901-1710
Phone (787) 724-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189209600000",
    "number": "1013102508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CALLE SAN JUSTO",
            "address_2": "APT. 2A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011710",
            "telephone_number": "787-724-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CALLE SAN JUSTO",
            "address_2": "APT. 2A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011710",
            "telephone_number": "787-724-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-LUGO",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-08",
        "last_updated": "2007-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.