Individual provider Active NPI

Javier Ismael Lugo de Jesus, MD

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1306978879
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16272 Issued in PR
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

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc Past Accepting new patients
MMR Instituto de Medicina de Familia del Oeste CSP PastSince Sep 1, 2021 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.