Fabiel Arnaldo Lugo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1767 Issued in PR

Practice address

205B Torre San Cristobal
Coto Laurel, PR 00780-2847

Phone

(787) 259-0253

NPI assigned

Mar 6, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1467582189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205B TORRE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802847",
            "telephone_number": "787-259-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205B TORRE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802847",
            "telephone_number": "787-259-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "FABIEL",
        "middle_name": "ARNALDO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizzette Echeverria Quinones (Farmacia Coto Laurel)
• Yaritza M Lopez Robledo, PHD
• Fabio Jose Lugo del Olmo
• Fabio H Lugo Gutierrez, MD
• Elizabeth Lugo, MSW
• Luis Alberto Marrero Sr.
• Emirallys Martinez
• MCP Internal Medicine Clinic & Associates, P.S.C.
• Nelson R Medina, M.D.
• Lymaris Melendez

• General Practice Dentistry in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.

Verify at the official NPI Registry.