Individual provider Active NPI

Luis Alberto Lugo Ortiz, O.D.

  • Optometrist
  • Caguas, PR
National Provider Identifier
1083703052
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
298 Issued in PR
Practice address
Paseo Gautier Benitez 16
Galeria Muniz Suite 11
Caguas, PR 00725
Phone
(787) 744-4020
NPI assigned
Oct 11, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 298 PR Primary

Addresses

Primary practice location

Paseo Gautier Benitez 16
Galeria Muniz Suite 11
Caguas, PR 00725

Mailing address

207 Camino de la Loma
Sabanera
Cidra, PR 00739-9480
Phone (787) 385-8161

Other practice location 1

Calle Nunez Romero 55
Cayey, PR 00735
Phone (787) 738-1800

Other practice location 2

Plaza Centro Mall
Ave. Rafael Cordero Local #10 Esquina PR 30
Caguas, PR 00725
Phone (787) 558-5504

Other identifiers 6

IdentifierTypeStateIssuer
58236OtherPRTRIPLE S
660-40-2309OtherPRMAFPRE MEDICARE EXCEL
660-49-8211OtherPRMCS OPTICA
890258OtherPRMEDICARE Y MUCHO MAS
9200061OtherPRHUMANA
PR0298OtherPREYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000566 PR Practitioner - Optometry 1658531017 Reassigns benefits to 2 organizations
Practice locations: Caguas, PR; Cayey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000298PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecb Humacao Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Cossma, Inc. CurrentSince Feb 4, 2013 Accepting new patients
Cossma Inc CurrentSince Feb 4, 2013 Accepting new patients
Ecb Humacao LLC Optometrist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1083703052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CAMINO DE LA LOMA",
            "address_2": "SABANERA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399480",
            "telephone_number": "787-385-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO GAUTIER BENITEZ 16",
            "address_2": "GALERIA MUNIZ SUITE 11",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Nunez Romero 55",
            "address_purpose": "LOCATION",
            "city": "Cayey",
            "state": "PR",
            "postal_code": "00735",
            "country_code": "US",
            "telephone_number": "787-738-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Plaza Centro Mall",
            "address_2": "Ave. Rafael Cordero Local #10 Esquina PR 30",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-558-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO ORTIZ",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "58236",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAFPRE MEDICARE EXCEL",
            "identifier": "660-40-2309",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS OPTICA",
            "identifier": "660-49-8211",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "890258",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9200061",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "PR0298",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.