Active NPI
Javier Ismael Lugo de Jesus, MD
- Family Medicine Physician
- Mayaguez, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16272
- Practice address
- Medical Emporium II
Suite a 29
Mayaguez, PR 00680-9999 - Phone
- (787) 690-2157
- Fax
- (787) 833-3831
- NPI assigned
- Mar 11, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16272 | PR | Primary |
Addresses
Primary practice location
Medical Emporium II
Suite a 29
Mayaguez, PR 00680-9999
Mailing address
PO Box 7436
Mayaguez, PR 00681-7436
Phone (787) 652-4864
Other practice location 1
26 Calle Salvador Brau
Cabo Rojo, PR 00623-3417
Phone (787) 851-1280
Other practice location 2
410 Ave Hostos
Mayaguez, PR 00682-1560
Phone (787) 652-9200
Other names 1
- Javier Ismael Lugo de Jesus
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131004000421 | PR | Practitioner - Family Practice | 3779717749 | Practice locations: Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
740 Ave Hostos
Suite 305
Mayaguez, PR 00682-1541
Phone (787) 652-4864
Hospital & facility affiliations
- Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc
- Mayaguez Medical Center Dr Ramon Emeterio Betances
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayaguez Medical Center Dr Ramon Emeterio Betances Inc | Past | Accepting new patients | |
| MMR Instituto de Medicina de Familia del Oeste CSP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1013140383
-
- Clinic/Center
- Mayaguez, PR
- NPI 1568571073
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1013140383
-
- Community Based Hospice Care Agency
- Ponce, PR
- NPI 1841925161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1306978879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7436",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006817436",
"telephone_number": "787-652-4864",
"fax_number": "787-652-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL EMPORIUM II",
"address_2": "SUITE A 29",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006809999",
"telephone_number": "787-690-2157",
"fax_number": "787-833-3831"
}
],
"practiceLocations": [
{
"address_1": "26 Calle Salvador Brau",
"address_purpose": "LOCATION",
"city": "Cabo Rojo",
"state": "PR",
"postal_code": "006233417",
"country_code": "US",
"telephone_number": "787-851-1280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 Ave Hostos",
"address_purpose": "LOCATION",
"city": "Mayaguez",
"state": "PR",
"postal_code": "006821560",
"country_code": "US",
"telephone_number": "787-652-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUGO DE JESUS",
"first_name": "JAVIER",
"middle_name": "ISMAEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-11",
"last_updated": "2026-09-16",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "16272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAVIER",
"last_name": "LUGO DE JESUS",
"middle_name": "ISMAEL",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.
- 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.