Individual provider Active NPI

Perly Jusino Lugo, M.D.

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1528030533
Registry record updated Feb 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13485 Issued in PR
Practice address
Bo. Mani Carr 64
Box 5130
Mayaguez, PR 00682
Phone
(787) 265-2214
NPI assigned
Feb 3, 2006
Last updated
Feb 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13485 PR Primary

Addresses

Primary practice location

Bo. Mani Carr 64
Box 5130
Mayaguez, PR 00682

Mailing address

PO Box 3159
Hato Arriba Station
San Sebastian, PR 00685-7003
Phone (787) 265-2214

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
I20120820000300 PR Practitioner - Family PracticePractitioner - General Practice 4981850351 Practice locations: Mayaguez, PR; San Sebastian, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center - San Antonio Inc Past Accepting new patients
Aj Primary Care Services Past Accepting new patients
Metro Mayaguez Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329004800000",
    "number": "1528030533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3159",
            "address_2": "HATO ARRIBA STATION",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006857003",
            "telephone_number": "787-265-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. MANI CARR 64",
            "address_2": "BOX 5130",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-265-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSINO LUGO",
        "first_name": "PERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.