Active NPI
Hayddee Santiago Lugo, M.D.
- Psychiatry Physician
- Guaynabo, PR
National Provider Identifier
1265658223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5137
- Practice address
- La Villa Gardens
26 Carr. 833 Apt. Ag1210
Guaynabo, PR 00971-9009 - Phone
- (787) 798-5275
- Fax
- (787) 995-2919
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5137 | PR | Primary |
Addresses
Primary practice location
La Villa Gardens
26 Carr. 833 Apt. Ag1210
Guaynabo, PR 00971-9009
Mailing address
La Villa Gardens
26 Carr. 833 Apt. Ag1210
Guaynabo, PR 00971-9009
Phone (787) 798-5275
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1500116 | Other | PR | HUMANA |
| 1940 | Other | PR | MEDICARE Y MUCHO MAS |
| 2302 | Other | PR | HUMANA GOLD PLUS |
| 26543 | Other | PR | TRIPLE S |
| 2893 | Other | PR | INTERNATINAL MEDICAL CARD |
| 065040 | Other | PR | CRUZ AZUL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5137 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265658223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LA VILLA GARDENS",
"address_2": "26 CARR. 833 APT. AG1210",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009719009",
"telephone_number": "787-798-5275",
"fax_number": "787-995-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LA VILLA GARDENS",
"address_2": "26 CARR. 833 APT. AG1210",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009719009",
"telephone_number": "787-798-5275",
"fax_number": "787-995-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO LUGO",
"first_name": "HAYDDEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "5137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1500116",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "1940",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD PLUS",
"identifier": "2302",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "26543",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATINAL MEDICAL CARD",
"identifier": "2893",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "065040",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.