Dr Fabio H Lugo Gutierrez CSP

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

8442 Issued in PR

Legal business name

DR FABIO H LUGO GUTIERREZ CSP

Practice address

309 Torre San Cristobal
Coto Laurel, PR 00780-2856

Phone

(787) 842-2594

Fax

(787) 840-8821

NPI assigned

Oct 6, 2008

Last updated

Oct 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Yamilet Roque

Title

Secretary

Phone

(787) 842-2594

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1689825952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TORRE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802856",
            "telephone_number": "787-842-2594",
            "fax_number": "787-840-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 TORRE SAN CRISTOBAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802856",
            "telephone_number": "787-842-2594",
            "fax_number": "787-840-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FABIO H LUGO GUTIERREZ CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "YAMILET",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-842-2594",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "8442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.