Active NPI
Roberto Borrero Lugo, M.D.
- Internal Medicine Physician
- South Pasadena, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME141140
- Practice address
- 1615 Pasadena Ave S Ste 350
South Pasadena, FL 33707-4521 - Phone
- (727) 345-6337
- Fax
- (727) 347-0403
- NPI assigned
- Jun 10, 2016
- Last updated
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME141140 | FL | Primary |
Addresses
Primary practice location
1615 Pasadena Ave S Ste 350
South Pasadena, FL 33707-4521
Mailing address
330 3Rd St S Unit 522
St Petersburg, FL 33701-4260
Phone (850) 832-3099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Pasadena Ave S
Suite 350
South Pasadena, FL 33707-4521
Phone (727) 345-6337
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME141140 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Verimed Health Group Pasadena, LLC | Internal Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1615 Pasadena Ave S
Ste 350
South Pasadena, FL 33707
Phone (727) 345-6337
Networks
- Freedom Health HMO Network
Interoperability endpoints
- roberto.borrero.lugo.1@9582.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1508021296
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1093164949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 3RD ST S UNIT 522",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014260",
"telephone_number": "850-832-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 PASADENA AVE S STE 350",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337074521",
"telephone_number": "727-345-6337",
"fax_number": "727-347-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORRERO LUGO",
"first_name": "ROBERTO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-10",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME141140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.