Individual provider Active NPI

Veronica A Lugo, PA-C

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1265418735
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00901 Issued in TX
Practice address
Commandant CG/1122
2100 Second St. SW Suite 5314
Washington, DC 20593-0001
Phone
(609) 898-6610
Fax
(609) 898-6962
NPI assigned
Dec 16, 2005
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00901 TX Primary

Addresses

Primary practice location

Commandant CG/1122
2100 Second St. SW Suite 5314
Washington, DC 20593-0001

Mailing address

1916 Ferdinand St
Coral Gables, FL 33134-2153
Phone (352) 274-1854

Other practice location 1

100 MacArthur Causeway
Medical Clinic
Miami Beach, FL 33139-5101
Phone (305) 535-4535

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
PA00901TXMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1265418735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 FERDINAND ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342153",
            "telephone_number": "352-274-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDANT CG/1122",
            "address_2": "2100 SECOND ST. SW SUITE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "609-898-6610",
            "fax_number": "609-898-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 MacArthur Causeway",
            "address_2": "Medical Clinic",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331395101",
            "country_code": "US",
            "telephone_number": "305-535-4535",
            "fax_number": "305-535-4413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO",
        "first_name": "VERONICA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.