Individual provider Active NPI

Aidin A Lugo, FNP

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1033978168
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11031159 Issued in FL
Practice address
1485 Pine Ridge Rd Ste 1
Naples, FL 34109-2114
Phone
(239) 579-9155
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11031159 FL Primary

Addresses

Primary practice location

1485 Pine Ridge Rd Ste 1
Naples, FL 34109-2114

Mailing address

1720 SW 19TH PL
Cape Coral, FL 33991-3173
Phone (786) 907-6313

Other practice location 1

1720 SW 19th Pl
Cape Coral, FL 33991-3173
Phone (786) 907-6313

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11031159FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1033978168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SW 19TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913173",
            "telephone_number": "786-907-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 PINE RIDGE RD STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092114",
            "telephone_number": "239-579-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 SW 19th Pl",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339913173",
            "country_code": "US",
            "telephone_number": "786-907-6313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO",
        "first_name": "AIDIN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11031159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.