Individual provider Active NPI

Anibal J Lugo Sr., MD

  • Cardiovascular Disease Physician
  • San German, PR
National Provider Identifier
1245307545
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10754 Issued in PR
Practice address
Edificio Plaza Metropolitana
Suite 204
San German, PR 00683-0000
Phone
(787) 264-3000
Fax
(787) 892-5994
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10754 PR Primary

Addresses

Primary practice location

Edificio Plaza Metropolitana
Suite 204
San German, PR 00683-0000

Mailing address

PO Box 88
San German, PR 00683-0088
Phone (787) 264-3000

Other identifiers 5

IdentifierTypeStateIssuer
060053219OtherPALMETTO
060510OtherCA
310754OtherCIGNA
601504OtherMMM
6830017OtherHUMANA INSURANCE

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
I20071113000579 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173611845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Calle Hernan Alvarez
San German, PR 00683-4173

100 Calle Hernan Alvarez
Suite 204
San German, PR 00683-4175
Phone (787) 264-0540

Edificio Plaza Metropolitana
204 100 Calle Hernan Alvarez
San German, PR 00683-9998

Hospital & facility affiliations

  • Hospital de la Concepcion Hospital, San German, PR, CCN 400021
  • Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10754PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Cardiovascular de San German,CSP Cardiovascular Disease CurrentSince May 1, 1997 Accepting new patients
Hospital de la Concepcion Inc Past Accepting new patients

Locations

100 Calle Hernan Alvarez
Ste 204
San German, PR 00683
Phone (787) 264-0540

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1245307545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830088",
            "telephone_number": "787-264-3000",
            "fax_number": "787-892-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PLAZA METROPOLITANA",
            "address_2": "SUITE 204",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830000",
            "telephone_number": "787-264-3000",
            "fax_number": "787-892-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "ANIBAL",
        "middle_name": "J",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "10754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "060053219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA",
            "identifier": "060510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "310754",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "601504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6830017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.