Active NPI
Lourdes Rebecca Rosario Lugo, MD
- General Practice Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1104
- Practice address
- 3195 Retreat Dr Apt 103
Kissimmee, FL 34741-7895 - Phone
- (656) 217-0802
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1104 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 11298 | PR |
Addresses
Primary practice location
3195 Retreat Dr Apt 103
Kissimmee, FL 34741-7895
Mailing address
3195 Retreat Dr Apt 103
Kissimmee, FL 34741-7895
Phone (656) 217-0802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2306 N Blvd W
Suite C
Davenport, FL 33837-8976
Phone (863) 866-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11298 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Medical Group, LLC | Current | Accepting new patients | |
| Lions Family Care LLC | General Practice | Current | Accepting new patients |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Serenity Life Counseling Center LLC | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | General Practice | Current | Accepting new patients |
| Southern Health Care Group, Inc. | Internal Medicine | Past | Accepting new patients |
| Puerto Rico Health Care Group | Internal Medicine | Past | Accepting new patients |
Locations
2306 North Blvd W
Ste C
Davenport, FL 33837
Phone (863) 547-9200
804 N Hoagland Blvd
Kissimmee, FL 34741
Phone (407) 797-7298
11251 S Orange Blossom Trl
Ste 102
Orlando, FL 32837
Phone (407) 237-0079
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Davenport, FL
- NPI 1013473495
-
- Addiction (Substance Use Disorder) Counselor
- Kissimmee, FL
- NPI 1346725413
-
dba Red Medica Hima San Pablo
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
General Practice
-
- General Practice Physician
- Orlando, FL
- NPI 1194516252
-
dba Nova Infusion
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
-
- Internal Medicine Physician
- Ponce, PR
- NPI 1750454526
-
- Internal Medicine Physician
- Guayama, PR
- NPI 1780770917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1346266301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3195 RETREAT DR APT 103",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417895",
"telephone_number": "656-217-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3195 RETREAT DR APT 103",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417895",
"telephone_number": "656-217-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO LUGO",
"first_name": "LOURDES",
"middle_name": "REBECCA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1104",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "11298",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.