Individual provider Active NPI

Pedro Lugo-Lugo

  • Land Ambulance
  • Anasco, PR
National Provider Identifier
1114027976
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TC AMB 424 Issued in PR
Practice address
Road 109 KM 5.3
Bo Espino
Anasco, PR 00610-0000
Phone
(787) 826-2525
Fax
(787) 551-7104
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 424 PR Primary

Addresses

Primary practice location

Road 109 KM 5.3
Bo Espino
Anasco, PR 00610-0000

Mailing address

RR 3 Box 10807
Anasco, PR 00610-9651
Phone (787) 826-2525

Other identifiers 2

IdentifierTypeStateIssuer
50740OtherPRPMC
69277OtherPRAMERICAN HEALTH MEDICARE

Other names 1

  • Lugo Ambulance Service Professional name

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

LicenseStateTypeSpecialty
TC AMB 424PRMDLand Ambulance

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1114027976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 10807",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109651",
            "telephone_number": "787-826-2525",
            "fax_number": "787-551-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 109 KM 5.3",
            "address_2": "BO ESPINO",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100000",
            "telephone_number": "787-826-2525",
            "fax_number": "787-551-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO-LUGO",
        "first_name": "PEDRO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "50740",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "69277",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUGO",
            "last_name": "SERVICE",
            "middle_name": "AMBULANCE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anasco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.