Active NPI
Alberto J. Lugo-Cobian, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Hato Rey, PR
National Provider Identifier
1427101393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2421
- Practice address
- 545 F.D. Roosvelt Ave. la Torre de Plaza Las Americas
Suite 617
Hato Rey, PR 00918 - Phone
- (787) 764-6709
- Fax
- (787) 764-6729
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2421 | PR | Primary |
Addresses
Primary practice location
545 F.D. Roosvelt Ave. la Torre de Plaza Las Americas
Suite 617
Hato Rey, PR 00918
Mailing address
545 F.D. Roosvelt Ave. la Torre de Plaza Las Americas
Suite 617
Hato Rey, PR 00918
Phone (787) 764-6709
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150730011436 | PR | Order and Referring Only - Oral Surgery | 4486968740 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2421 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427101393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 F.D. ROOSVELT AVE. LA TORRE DE PLAZA LAS AMERICAS",
"address_2": "SUITE 617",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-764-6709",
"fax_number": "787-764-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 F.D. ROOSVELT AVE. LA TORRE DE PLAZA LAS AMERICAS",
"address_2": "SUITE 617",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-764-6709",
"fax_number": "787-764-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO-COBIAN",
"first_name": "ALBERTO",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PR",
"license": "2421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hato Rey, PR
Sources for this page
- 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.