Active NPI
Roberto Lugo, PA
- Physician Assistant
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101966
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| FL-I Medical Services, LLC | Physician Assistant | Current | Accepting new patients |
| Sterling Emergency Services of Florida PA | Physician Assistant | Current | 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.
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
-
- Emergency Medicine Physician
- Belle Glade, FL
- NPI 1992216568
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Emergency Medicine Physician
- Clewiston, FL
- NPI 1184040560
-
- Emergency Medicine Physician
- West Palm Beach, FL
- NPI 1295720241
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1871155887
Physician Assistant
-
- Emergency Medicine Physician
- Boynton Beach, FL
- NPI 1578814570
Physician Assistant
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1134541618
Physician Assistant
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.