Individual provider Active NPI

Jorge I. Rodriguez Lugo, MD

  • Hematology & Oncology Physician
  • Ponce, PR
National Provider Identifier
1215031547
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
14399 Issued in PR
Practice address
Torre Med San Lucas
5To Piso Oficina 508
Ponce, PR 00716-4728
Phone
(787) 385-8200
NPI assigned
Sep 8, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU
Oncology Clinic/Center 261QX0200X 14399 PR
Hematology & Oncology Physician 207RH0003X 14399 PR Primary

Addresses

Primary practice location

Torre Med San Lucas
5To Piso Oficina 508
Ponce, PR 00716-4728

Mailing address

609 Ave Tito Castro
Suite 102 PMB 464
Ponce, PR 00716-2232
Phone (787) 385-8200

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
I20110128000721 PR Practitioner - Medical OncologyPractitioner - Hematology 9133308653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

609 Ave Tito Castro
Ponce, PR 00716-0200

Ave Tito Castro
609 Suite 102 PMB 464
Ponce, PR 00716-2232

Torre Medica San Lucas
5 To Piso Suite 508
Ponce, PR 00716-2232
Phone (787) 651-6010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14399PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Cancer Group PSC Hematology & Oncology CurrentSince Apr 1, 2021 Accepting new patients
Ponce Medical School Foundation Inc Past Accepting new patients

Locations

609 Ave Tito Castro
Ste 102
Ponce, PR 00716
Phone (787) 259-3316

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1215031547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "SUITE 102 PMB 464",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162232",
            "telephone_number": "787-385-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MED SAN LUCAS",
            "address_2": "5TO PISO OFICINA 508",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-385-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LUGO",
        "first_name": "JORGE",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "14399",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "14399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.