Mirian Dolores Lugo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME148908 Issued in FL

Practice address

3319 S State Road 7 Ste 109
Wellington, FL 33449-8099

Phone

(561) 798-5437

Fax

(561) 798-7726

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Suramed Health Center, PA

  • Pediatrics Physician
  • West Palm Beach, FL
  • NPI 1083910632
  NPD (past)
• Suramed Health Center, PA

  • Pediatrics Physician
  • Wellington, FL
  • NPI 1942781505
  NPD (past)
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1114127404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7 STE 109",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498099",
            "telephone_number": "561-798-5437",
            "fax_number": "561-798-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 S STATE ROAD 7 STE 109",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498099",
            "telephone_number": "561-798-5437",
            "fax_number": "561-798-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "MIRIAN",
        "middle_name": "DOLORES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME148908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12753400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Lozano, DO
• Lawrence Lucce
• Salina D Lucero, MD
• Gandy Lucien, ED.S.
• Lucy Valencia
• Luxepodiatry, PLLC
• Luxottica of America Inc
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica Retail North America Inc

• Pediatrics Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.