NPIMap

Individual provider Active NPI

Luis A. Lugo Rivera, M.D.

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1346586658
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
020247 Issued in PR
Practice address
Urb. Rexamanor Calle 3 A21
Guayama, PR 00785
Phone
(787) 404-6472
NPI assigned
Dec 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 020247 PR Primary

Addresses

Primary practice location

Urb. Rexamanor Calle 3 A21
Guayama, PR 00785

Mailing address

PO Box 1467
Guayama, PR 00785-1467
Phone (787) 404-6472

Other identifiers 1

IdentifierTypeStateIssuer
020247MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516000719 PR Practitioner - General Practice 3375798580 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2145
Phone (787) 727-6060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc Past Accepting new patients
Metro Santurce, Inc. Past Accepting new patients
Doctors Center Hospital San Juan Past Accepting new patients
Instituto Medico del Norte Inc Past Accepting new patients

Organizations & group practices 4

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 4

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": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1346586658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1467",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851467",
            "telephone_number": "787-404-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. REXAMANOR CALLE 3 A21",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-404-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO RIVERA",
        "first_name": "LUIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "020247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020247",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.