Active NPI
Elizabeth Pabon Lugo
- Prevention Professional
- San Juan, PR
National Provider Identifier
1104342658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 0683
- Practice address
- 700 Calle Doctor Pavia Fernandez
Suite 301
San Juan, PR 00909 - Phone
- (787) 496-0818
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 0683 | PR | Primary |
Addresses
Primary practice location
700 Calle Doctor Pavia Fernandez
Suite 301
San Juan, PR 00909
Mailing address
700 Calle Doctor Pavia Fernandez
Suite 301
San Juan, PR 00909
Phone (787) 496-0818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0683 | PR | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Ararat Inc | Current | Accepting new patients |
Locations
700 Calle Pavia
Ste 301
San Juan, PR 00909
Phone (787) 496-0818
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.
-
dba Translucent by Centro Ararat
- Multi-Specialty Clinic/Center
- San Juan, PR
- NPI 1902456221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104342658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CALLE DOCTOR PAVIA FERNANDEZ",
"address_2": "SUITE 301",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-496-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CALLE DOCTOR PAVIA FERNANDEZ",
"address_2": "SUITE 301",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-496-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON LUGO",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "PR",
"license": "0683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.