Individual provider Active NPI

Belkis Aileen Lugo, R,PH.

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1518598630
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3661 Issued in PR
Practice address
175 Ave Hostos Apt PH-D
San Juan, PR 00918-4200
Phone
(787) 435-8309
Fax
(787) 621-0111
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 3661 PR Primary

Addresses

Primary practice location

175 Ave Hostos Apt PH-D
San Juan, PR 00918-4200

Mailing address

175 Ave Hostos Apt PH-D
San Juan, PR 00918-4200
Phone (787) 435-8309

Other identifiers 1

IdentifierTypeStateIssuer
3661OtherPRSTATE

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
3661PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1518598630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 AVE HOSTOS APT PH-D",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184200",
            "telephone_number": "787-435-8309",
            "fax_number": "787-621-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 AVE HOSTOS APT PH-D",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184200",
            "telephone_number": "787-435-8309",
            "fax_number": "787-621-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "BELKIS",
        "middle_name": "AILEEN",
        "name_prefix": "Dr.",
        "credential": "R,PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "3661",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.