Active NPI
Eric Rafael Lugo Rivera
- Clinical Psychologist
National Provider Identifier
1306385471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5819
- Practice address
- Bo. Paso Seco Sector Useras Carr 153 KM 7.5
Santa Isabel, PUERTO RICO 00757
UM - Phone
- (787) 971-7158
- NPI assigned
- Feb 21, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5819 | PR | Primary |
Addresses
Primary practice location
Bo. Paso Seco Sector Useras Carr 153 KM 7.5
Santa Isabel, PUERTO RICO 00757
UM
Mailing address
Carr 153 KM 7.5
Bo Paso Seco Sector Useras
Santa Isabel, PUERTO RICO 00757
UM
Phone (787) 644-1169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Med Centro Inc
Practice addresses (Care Compare)
1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306385471",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CARR 153 KM 7.5",
"address_2": "BO PASO SECO SECTOR USERAS",
"city": "SANTA ISABEL",
"state": "PUERTO RICO",
"postal_code": "00757",
"telephone_number": "787-644-1169"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "BO. PASO SECO SECTOR USERAS CARR 153 KM 7.5",
"city": "SANTA ISABEL",
"state": "PUERTO RICO",
"postal_code": "00757",
"telephone_number": "787-971-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO RIVERA",
"first_name": "ERIC",
"middle_name": "RAFAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.