Active NPI
Dennice A Miner Lugo, RD
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1285951129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1381
- Practice address
- 787 Calle Howard
University Gardens
San Juan, PR 00927-4027 - Phone
- (787) 243-6604
- NPI assigned
- May 3, 2010
- Last updated
- Apr 18, 2017
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1381 | PR | Primary |
Addresses
Primary practice location
787 Calle Howard
University Gardens
San Juan, PR 00927-4027
Mailing address
3 Calle Clemenceau
Condominio San Rafael Arcangel Apt 1
San Juan, PR 00907
Phone (787) 243-6604
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1381 | PR | MD | Physical Therapist |
Interoperability endpoints
- dennice.minerlugo.p1@direct.vitacare.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1285951129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CALLE CLEMENCEAU",
"address_2": "CONDOMINIO SAN RAFAEL ARCANGEL APT 1",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-243-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 CALLE HOWARD",
"address_2": "UNIVERSITY GARDENS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274027",
"telephone_number": "787-243-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER LUGO",
"first_name": "DENNICE",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.