Individual provider Active NPI

Frances Magdielle Fernandez Lugo, PSY.D.

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1336320100
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2545 Issued in PR
Practice address
68 Calle Aquamarina
Urbanizacion Villa Blanca
Caguas, PR 00725-1908
Phone
(787) 744-4447
Fax
(787) 653-8261
NPI assigned
Nov 20, 2007
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2545 PR Primary

Addresses

Primary practice location

68 Calle Aquamarina
Urbanizacion Villa Blanca
Caguas, PR 00725-1908

Mailing address

68 Calle Aquamarina
Urbanizacion Villa Blanca
Caguas, PR 00725-1908
Phone (787) 744-4447

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000138 PR Practitioner - Clinical Psychologist 6406035187 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2545PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1336320100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CALLE AQUAMARINA",
            "address_2": "URBANIZACION VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251908",
            "telephone_number": "787-744-4447",
            "fax_number": "787-653-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE AQUAMARINA",
            "address_2": "URBANIZACION VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251908",
            "telephone_number": "787-744-4447",
            "fax_number": "787-653-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ LUGO",
        "first_name": "FRANCES",
        "middle_name": "MAGDIELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.