Active NPI
Waldemar Lugo Arvelo, DC
- Chiropractor
- Las Piedras, PR
National Provider Identifier
1154365385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 369
- Practice address
- Carr 183 KM 18.6
Base 3 Lote 3 Bo. Montones
Las Piedras, PR 00771 - Phone
- (787) 733-7430
- Fax
- (787) 733-2579
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 369 | PR | Primary |
Addresses
Primary practice location
Carr 183 KM 18.6
Base 3 Lote 3 Bo. Montones
Las Piedras, PR 00771
Mailing address
PO Box 2017
PMB 627
Las Piedras, PR 00771-2017
Phone (787) 733-7430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050602001046 | PR | Practitioner - Chiropractic | 3173566908 | Practice locations: Las Piedras, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 369 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1154365385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2017",
"address_2": "PMB 627",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007712017",
"telephone_number": "787-733-7430",
"fax_number": "787-733-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 183 KM 18.6",
"address_2": "BASE 3 LOTE 3 BO. MONTONES",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "787-733-7430",
"fax_number": "787-733-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO ARVELO",
"first_name": "WALDEMAR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.