Individual provider Active NPI

Nannette M. Lugo-Amador, MD

  • Emergency Medicine Physician
  • San Juan, PR
National Provider Identifier
1306927470
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15376 Issued in PR
Practice address
University of Puerto Rico Hospital Emerg Med. Dept.
65TH Infantry Ave.
San Juan, PR 00646
Phone
(787) 757-1800
Fax
(787) 750-0930
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15376 PR Primary

Addresses

Primary practice location

University of Puerto Rico Hospital Emerg Med. Dept.
65TH Infantry Ave.
San Juan, PR 00646

Mailing address

Sabanera Dorado
517 Camino Rio Abajo
Dorado, PR 00646
Phone (787) 385-3755

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060331000044 PR Practitioner - Emergency Medicine 5799793865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Emergency Medicine CurrentSince Aug 25, 2012 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 25, 2012 Accepting new patients
Boston Emergency Physician Foundation, Inc. Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1306927470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SABANERA DORADO",
            "address_2": "517 CAMINO RIO ABAJO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-385-3755",
            "fax_number": "787-750-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF PUERTO RICO HOSPITAL EMERG MED. DEPT.",
            "address_2": "65TH INFANTRY AVE.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-757-1800",
            "fax_number": "787-750-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO-AMADOR",
        "first_name": "NANNETTE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "15376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.