Individual provider Active NPI

Yulevymar Bermudez Lugo, MD

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1073010294
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24119 Issued in PR
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

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260617004084 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric MedicinePractitioner - Medical Toxicology 9436621729

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24119PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Pediatrico Universitario PastSince Jul 16, 2023 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.

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

Verify at the official NPI Registry.