Organization Active NPI

Caribbean Infectology Consulting Group, L.L.C.

  • Infectious Disease Physician
  • Ponce, PR
National Provider Identifier
1487998787
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
10613 Issued in PR
Legal business name
CARIBBEAN INFECTOLOGY CONSULTING GROUP, L.L.C.
Practice address
2053 Ponce by Pass Suite 205
Edificio Centro Caribe
Ponce, PR 00717-1308
Phone
(787) 315-7917
NPI assigned
Nov 27, 2012
Last updated
Oct 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. Luis Jorge Lugo, M.D.
Title
President
Phone
(787) 315-7917

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU
Infectious Disease Physician 207RI0200X 10613 PR Primary

Addresses

Primary practice location

2053 Ponce by Pass Suite 205
Edificio Centro Caribe
Ponce, PR 00717-1308

Mailing address

PO Box 712
Mercedita, PR 00715-0712
Phone (787) 315-7917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130405000047 PR Part B Supplier - Clinic/Group Practice 3173768579 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
40D2305704Caribbean Infectology Consulting Group2053 Ponce by Pass Edif Centro Caribe Suite 205, Ponce, PR 00717Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Caribbean Infectology Consulting Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1487998787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150712",
            "telephone_number": "787-315-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 PONCE BY PASS SUITE 205",
            "address_2": "EDIFICIO CENTRO CARIBE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171308",
            "telephone_number": "787-315-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN INFECTOLOGY CONSULTING GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-315-7917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "10613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.