Individual provider Active NPI

Carmen I Lugo Ramirez, MD

  • Specialist
  • Mayaguez, PR
National Provider Identifier
1144367376
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15695 Issued in PR
Practice address
Carr 349 KM 2.7
Cerro Las Mesas
Mayaguez, PR 00680
Phone
(787) 834-2350
Fax
(787) 891-0172
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15695 PR Primary

Addresses

Primary practice location

Carr 349 KM 2.7
Cerro Las Mesas
Mayaguez, PR 00680

Mailing address

PO Box 662
Mayaguez, PR 00681-0662
Phone (787) 674-3540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000917 PR Practitioner - General Practice 0244276160 Reassigns benefits to 2 organizations
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital, Inc CurrentSince Dec 26, 2018 Accepting new patients
Bella Vista Hospital Inc CurrentSince Dec 26, 2018 Accepting new patients

Organizations & group practices 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1144367376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810662",
            "telephone_number": "787-674-3540",
            "fax_number": "787-891-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 349 KM 2.7",
            "address_2": "CERRO LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-2350",
            "fax_number": "787-891-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO RAMIREZ",
        "first_name": "CARMEN",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "15695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.