Individual provider Active NPI

Juan Alberto Lugo Castro

  • Medical-Surgical Registered Nurse
  • Bronx, NY
National Provider Identifier
1265272553
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
813796 Issued in NY
Practice address
1715 Nelson Ave Apt 2G
Bronx, NY 10453-7038
Phone
(347) 517-7037
NPI assigned
May 25, 2024
Last updated
May 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 813796 NY
Medical-Surgical Registered Nurse 163WM0705X 813796 NY Primary

Addresses

Primary practice location

1715 Nelson Ave Apt 2G
Bronx, NY 10453-7038

Mailing address

1715 Nelson Ave Apt 2G
Bronx, NY 10453-7038
Phone (347) 517-7037

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
813796NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1265272553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 NELSON AVE APT 2G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104537038",
            "telephone_number": "347-517-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 NELSON AVE APT 2G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104537038",
            "telephone_number": "347-517-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO CASTRO",
        "first_name": "JUAN",
        "middle_name": "ALBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "813796",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "813796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.