Active NPI
Yulevymar Bermudez Lugo, MD
- General Practice Physician
- Rio Piedras, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24119
- Practice address
- Hopu Bo Monacillos Carr #22 Centro Medico
Rio Piedras, PR 00935 - Phone
- (787) 777-3535
- NPI assigned
- Apr 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24119 | PR | |
| General Practice Physician | 208D00000X | 24119 | PR | Primary |
Addresses
Primary practice location
Hopu Bo Monacillos Carr #22 Centro Medico
Rio Piedras, PR 00935
Mailing address
1761 Calle Pegaso
Urb Venus Gardens
San Juan, PR 00926-4917
Phone (787) 459-9372
Other practice location 1
100 Woodruff Circle Atlanta Ga 30322
Atlanta, GA 30322-0001
Phone (404) 727-5660
Other practice location 2
1761 Calle Pegaso
Urb Venus Gardens
San Juan, PR 00926
Phone (787) 459-9372
Other practice location 3
50 Hurt Plz SE Ste 600
Atlanta, GA 30303-2915
Phone (404) 616-4403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260617004084 | GA | Order and Referring Only - Pediatric Medicine | 9436621729 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24119 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Pediatrico Universitario | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Rio Piedras, PR
- NPI 1790087492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1073010294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 CALLE PEGASO",
"address_2": "URB VENUS GARDENS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264917",
"telephone_number": "787-459-9372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOPU BO MONACILLOS CARR #22 CENTRO MEDICO",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "00935",
"telephone_number": "787-777-3535"
}
],
"practiceLocations": [
{
"address_1": "100 Woodruff Circle Atlanta Ga 30322",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303220001",
"country_code": "US",
"telephone_number": "404-727-5660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1761 Calle Pegaso",
"address_2": "Urb Venus Gardens",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00926",
"country_code": "US",
"telephone_number": "787-459-9372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Hurt Plz SE Ste 600",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303032915",
"country_code": "US",
"telephone_number": "404-616-4403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMUDEZ LUGO",
"first_name": "YULEVYMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "24119",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.