Sergio a. Lugo M.D. Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD9805 Issued in HI

Legal business name

SERGIO A. LUGO M.D. INC.

Practice address

1885 Main St
Suite 205
Wailuku, HI 96793-1819

Phone

(808) 244-6776

Fax

(808) 244-6005

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sergio A. Lugo, M.D.NPI 1922285816

Title

Owner

Phone

(808) 244-6776

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio Antonio Lugo, MD

  • Specialist
  • Wailuku, HI
  • NPI 1922285816
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235184623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST",
            "address_2": "SUITE 205",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931819",
            "telephone_number": "808-244-6776",
            "fax_number": "808-244-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST",
            "address_2": "SUITE 205",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931819",
            "telephone_number": "808-244-6776",
            "fax_number": "808-244-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO A. LUGO M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-244-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD9805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49332001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Seeley, AU.D.
• Christina Efthimiadis Seeley, MD
• Piper Sue Seller
• Calvin A Selwyn, MD
• Louise Lynn Sentes, L.M.T.
• David G Seriguchi, MD
• Sfmba, LLC
• Shalom House LLC
• Brett L. Shapiro, M.D.
• William M. Shapiro, M.D.

• Specialist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.