Individual provider Active NPI

Alberto J. Lugo-Cobian, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hato Rey, PR
National Provider Identifier
1427101393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2421 Issued in PR
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730011436 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486968740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2421PRMDClinical 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

Verify at the official NPI Registry.