Active NPI
Carolina Isabel Lugo-Fagundo
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1508421538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Department of Radiology
601 N Caroline Street
Baltimore, MD 21205 - Phone
- (410) 955-6369
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Department of Radiology
601 N Caroline Street
Baltimore, MD 21205
Mailing address
Department of Radiology
601 N Caroline Street
Baltimore, MD 21205
Phone (410) 955-6369
Other practice location 1
PHSU 388 Zona Industrial
Reparada 2
Ponce, PR 00716
Phone (787) 840-2575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220525000068 | MD | Order and Referring Only - Interventional Radiology | 8628455094 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- clugofagundo447653@direct.hopkinsmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1508421538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF RADIOLOGY",
"address_2": "601 N CAROLINE STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21205",
"telephone_number": "410-955-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF RADIOLOGY",
"address_2": "601 N CAROLINE STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21205",
"telephone_number": "410-955-6369"
}
],
"practiceLocations": [
{
"address_1": "PHSU 388 Zona Industrial",
"address_2": "Reparada 2",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "00716",
"country_code": "US",
"telephone_number": "787-840-2575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUGO-FAGUNDO",
"first_name": "CAROLINA",
"middle_name": "ISABEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2022-06-03",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.