Fabio H Lugo Gutierrez, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8442 Issued in PR

Practice address

Torre San Cristobal
Suite 309
Coto Laurel, PR 00780

Phone

(787) 842-2594

Fax

(787) 840-8821

NPI assigned

Oct 24, 2005

Last updated

Oct 26, 2009By the provider in NPPES

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

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1306836176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL",
            "address_2": "SUITE 309",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-842-2594",
            "fax_number": "787-840-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL",
            "address_2": "SUITE 309",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-842-2594",
            "fax_number": "787-840-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO GUTIERREZ",
        "first_name": "FABIO",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "8442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilliam Caraballo Lemell, DPM, MPH
• Juanita C. Leon, MD
• Lizzette Echeverria Quinones (Farmacia Coto Laurel)
• Yaritza M Lopez Robledo, PHD
• Fabio Jose Lugo del Olmo
• Elizabeth Lugo, MSW
• Fabiel Arnaldo Lugo, D.D.S.
• Luis Alberto Marrero Sr.
• Emirallys Martinez
• MCP Internal Medicine Clinic & Associates, P.S.C.

• Psychiatry Physician in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.