Active NPI
Lionel Lugo, M.D.
- Specialist
- Ponce, PR
National Provider Identifier
1164423828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6465
- Practice address
- Hospital San Lucas I
Calle Guadalupe Final - Box 2027
Ponce, PR 00731 - Phone
- (787) 848-4777
- Fax
- (787) 848-4777
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6465 | PA | Primary |
Addresses
Primary practice location
Hospital San Lucas I
Calle Guadalupe Final - Box 2027
Ponce, PR 00731
Mailing address
PO Box 1063
San German, PR 00683-1063
Phone (787) 848-4777
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6465 | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1164423828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1063",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006831063",
"telephone_number": "787-848-4777",
"fax_number": "787-848-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL SAN LUCAS I",
"address_2": "CALLE GUADALUPE FINAL - BOX 2027",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-848-4777",
"fax_number": "787-848-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "LIONEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "6465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.