Individual provider Active NPI

Mariela Lugo

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1487066635
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18719 Issued in PR
Practice address
76 Tenerife Urb Sultana
Mayaguez, PR 00680
Phone
(787) 467-5094
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18719 PR Primary

Addresses

Primary practice location

76 Tenerife Urb Sultana
Mayaguez, PR 00680

Mailing address

PO Box 821
Cabo Rojo, PR 00623-0821
Phone (787) 467-5094

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
I20141002001227 PR Practitioner - Internal Medicine 7911127519 Reassigns benefits to 1 organization
Practice locations: San German, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital Inc. CurrentSince Feb 19, 2020 Accepting new patients
Mennonite General Hospital Inc CurrentSince Feb 19, 2020 Accepting new patients
Mariela Lugo Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mariela.lugomarin.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 4

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1487066635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230821",
            "telephone_number": "787-467-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 TENERIFE URB SULTANA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-467-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "MARIELA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.