Fausto Miguel Hernan Lugo Martinez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

023506 Issued in PR

Practice address

Carr 128 K.M 1.0
Yauco, PR 00698

Phone

(787) 856-1000

NPI assigned

Jun 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Puerto Rico Medical Emergency Group P.S.C.

  • Emergency Medicine Physician
  • Ponce, PR
  • NPI 1629261011

  PR

  Medicare reassignment NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1295428571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5643",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 128 K.M 1.0",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO MARTINEZ",
        "first_name": "FAUSTO",
        "middle_name": "MIGUEL HERNAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lopez Pons Medical Services LLC
• Enid Lopez
• Samaris Lopez, MS SLP CCC
• Vionet Luciano, T.S.
• Sylvette Lugo Cintron, MD
• Johnny Lugo-Poche, MD
• Angel Madera, OD
• Paola Myliam Malave Ramos, RN
• Enrique A Maldonado Torres, MD
• Ana I Maldonado

• General Practice Physician in Yauco, PR
• Providers in Yauco, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.