Individual provider Active NPI

Lilliam D Lugo Carmona, MD

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1518064872
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14027 Issued in PR
Practice address
Commerce Plaza 202
Urb Costa Azul
Guayama, PR 00714
Phone
(787) 866-0708
Fax
(787) 866-0708
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14027 PR Primary

Addresses

Primary practice location

Commerce Plaza 202
Urb Costa Azul
Guayama, PR 00714

Mailing address

PO Box 256
Arroyo, PR 00714-0256
Phone (787) 866-8412

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
I20031222000139 PR Practitioner - General Practice 2062310600 Practice locations: Arroyo, PR; Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Commerce Plaza
202 Urb Costa Azul
Guayama, PR 00784
Phone (787) 866-0708

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14027PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518064872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140256",
            "telephone_number": "787-866-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMERCE PLAZA 202",
            "address_2": "URB COSTA AZUL",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-866-0708",
            "fax_number": "787-866-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO CARMONA",
        "first_name": "LILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.