Individual provider Active NPI

Roberto Lugo, PA

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1093783433
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101966 Issued in FL
Practice address
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934
Phone
(561) 737-7733
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101966 FL Primary

Addresses

Primary practice location

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934

Mailing address

1915 Pierce Dr
Lake Worth, FL 33460-6026
Phone (561) 547-4993

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050430000054 FL Practitioner - Physician Assistant 5395784144 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC Physician Assistant CurrentSince May 1, 2016 Accepting new patients
FL-I Medical Services, LLC Physician Assistant CurrentSince May 1, 2016 Accepting new patients
Sterling Emergency Services of Florida PA Physician Assistant CurrentSince Sep 26, 2023 Accepting new patients
Tenet Florida Physician Services, LLC Past Accepting new patients
Emergency Physician Solutions of South Florida, LLC Physician Assistant Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Organizations & group practices 11

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1093783433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 PIERCE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606026",
            "telephone_number": "561-547-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357934",
            "telephone_number": "561-737-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "ROBERTO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.