Individual provider Active NPI

Luis Freytes-Lugo, M.D.

  • Neurology Physician
  • San German, PR
National Provider Identifier
1316919111
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9750 Issued in PR
Practice address
87 Ave Univ Interamericana
San German, PR 00683-4338
Phone
(787) 264-0110
Fax
(787) 264-0110
NPI assigned
Feb 6, 2006
Last updated
Dec 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 9750 PR Primary

Addresses

Primary practice location

87 Ave Univ Interamericana
San German, PR 00683-4338

Mailing address

PO Box 1329
San German, PR 00683-1329
Phone (787) 264-0110

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
I20120305000324 PR Practitioner - Neurology 3072772490 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

87 Ave Univ Interamericana
San German, PR 00683-4338
Phone (787) 264-0110

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1316919111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831329",
            "telephone_number": "787-264-0110",
            "fax_number": "787-264-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 AVE UNIV INTERAMERICANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834338",
            "telephone_number": "787-264-0110",
            "fax_number": "787-264-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYTES-LUGO",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "9750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.