Raquel Lugo MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042647 Issued in CT

Legal business name

RAQUEL LUGO MD LLC

Practice address

547 Main St
Suite 103
Middletown, CT 06457-2806

Phone

(860) 344-0154

Fax

(860) 344-0154

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raquel Lugo, MD

Title

Owner

Phone

(860) 344-0154

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1174927941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 MAIN ST",
            "address_2": "SUITE 103",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572806",
            "telephone_number": "860-344-0154",
            "fax_number": "860-344-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 MAIN ST",
            "address_2": "SUITE 103",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572806",
            "telephone_number": "860-344-0154",
            "fax_number": "860-344-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAQUEL LUGO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-344-0154",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "042647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zofia Ramos, APRN
• Usman C. Ramzan, MD
• Shradha Rana, DPT
• Edwina Ranganathan, LADC
• Tanesha Tamara Rankine, PSY.D
• Homaira Rasool, DO
• Sabita Jauhar Rathi, MD
• Terry F Reardon, MD
• Mari Rebane-Mazzotta, MD
• Laura F. Reddington, PA-C

• Psychiatry Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.