Manuel Lugo-Cruz

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

004279 Issued in PR

Practice address

Ee13 Calle Trinidad Padilla
Cabo Rojo, PR 00623-3368

Phone

(787) 322-2410

NPI assigned

Jun 21, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1346734381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EE13 CALLE TRINIDAD PADILLA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233368",
            "telephone_number": "787-322-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EE13 CALLE TRINIDAD PADILLA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233368",
            "telephone_number": "787-322-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO-CRUZ",
        "first_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "004279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR LICENSE ID",
            "identifier": "004279",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlando Luciano, MD
• Agnes Mariella Lugo Martinez, PHARMD
• Faudes Ileana Lugo Morales, M.D.
• Hernan III Lugo Olivieri, MEDICAL DOCTOR
• Fausto C Lugo Rodriguez, MD
• Belinda Lugo, CPHT
• Sandra Lugo
• M O Primary Specialists PSC
• Lysette Maritza Maiz Negron, MSW
• Ken Robert Malave Ramos, MD

• Counseling Psychologist in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.