Individual provider Active NPI

Paloma Maria Lugo Perez, MD

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1538715552
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23401 Issued in PR
Practice address
400 Grand Blvd Los Prados
Armonia 31-103
Caguas, PR 00727
Phone
(787) 595-4431
NPI assigned
Aug 15, 2019
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34324R PR
Internal Medicine Physician 207R00000X 23401 PR Primary

Addresses

Primary practice location

400 Grand Blvd Los Prados
Armonia 31-103
Caguas, PR 00727

Mailing address

400 Grand Blvd Los Prados
Armonia 31-103
Caguas, PR 00727

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
I20231026001883 PR Practitioner - Internal Medicine 3173979218 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Caguas, PR 00727
Phone (787) 595-4431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34324RPRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Past Accepting new patients

Organizations & group practices 2

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1538715552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRAND BLVD LOS PRADOS",
            "address_2": "ARMONIA 31-103",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRAND BLVD LOS PRADOS",
            "address_2": "ARMONIA 31-103",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-595-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO PEREZ",
        "first_name": "PALOMA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "34324R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "23401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.