Individual provider Active NPI

Israel Lugo Jr., TEM

  • Paramedic
  • Anasco, PR
National Provider Identifier
1467770487
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
PP Issued in PR
Practice address
Com Las Marias 455 Calle Luis Munoz Marin
RR 2 Box 3358
Anasco, PR 00610
Phone
(787) 988-9793
NPI assigned
May 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X PP PR Primary

Addresses

Primary practice location

Com Las Marias 455 Calle Luis Munoz Marin
RR 2 Box 3358
Anasco, PR 00610

Mailing address

Com Las Marias 455 Calle Luis Munoz Marin
RR 2 Box 3358
Anasco, PR 00610
Phone (787) 988-9793

Other names 1

  • Mr. Israel Lugo Jr. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PPPRMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1467770487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COM LAS MARIAS 455 CALLE LUIS MUNOZ MARIN",
            "address_2": "RR 2 BOX 3358",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-988-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COM LAS MARIAS 455 CALLE LUIS MUNOZ MARIN",
            "address_2": "RR 2 BOX 3358",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-988-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "ISRAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "TEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "PR",
            "license": "PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISRAEL",
            "last_name": "LUGO",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "TEM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anasco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.