Individual provider Active NPI

Faudes Ileana Lugo Morales, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cabo Rojo, PR
National Provider Identifier
1386180644
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
19531 Issued in PR
Practice address
Calle Brau Esq. Ruiz Belvis 48B Bajos
Cabo Rojo, PR 00623
Phone
(787) 718-0566
Fax
(787) 652-4278
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 19531 PR Primary

Addresses

Primary practice location

Calle Brau Esq. Ruiz Belvis 48B Bajos
Cabo Rojo, PR 00623

Mailing address

PO Box 560
Lajas, PR 00667-0560
Phone (787) 718-0566

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226000440 PR Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - General Practice 0648604744 Reassigns benefits to 1 organization
Practice locations: Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Brau Esq Ruiz Belvis 48B Bajos
Cabo Rojo, PR 00623
Phone (787) 314-8430

PO Box
Suite 560
Lajas, PR 00667-0560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19531PRMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Crystal Holdings LLC Internal Medicine CurrentSince Jul 6, 2019 Accepting new patients
Gerivitality Holdings LLC Geriatric Medicine CurrentSince Nov 11, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: faudes.lugomorales@4306.securemail.prognocis.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1386180644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670560",
            "telephone_number": "787-718-0566",
            "fax_number": "787-652-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BRAU ESQ. RUIZ BELVIS 48B BAJOS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-718-0566",
            "fax_number": "787-652-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO MORALES",
        "first_name": "FAUDES",
        "middle_name": "ILEANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "19531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.