Jose L Lugo Padua

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0684 Issued in PR

Practice address

A9 Calle 7
Bayamon Gardens
Bayamon, PR 00957-2517

Phone

(787) 797-4680

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346252343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CALLE 2",
            "address_2": "GARDEN HILLS ESTATES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662907",
            "telephone_number": "787-793-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A9 CALLE 7",
            "address_2": "BAYAMON GARDENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572517",
            "telephone_number": "787-797-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO PADUA",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "0684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lser LLC
• Lso (Laboratorio Santa Olaya)
• Marycha Luciano
• Raul E Lugo Bonet, DMD
• Nelky J. Lugo Irizarry, R.P.T.
• Luis Enrique Lugo Ramos, MD
• Humberto Lugo Vicente, MD
• Carmen Lugo
• Stephanie Lugo, MCR
• Luna & Mar Inc.

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.