Individual provider Active NPI

Janeen Lugo-Rodriguez, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1699223701
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21538 Issued in PR
Practice address
150 Ave Americo Miranda Bo Monacillos
Area de Centro Medico Metropolitano
San Juan, PR 00935-0001
Phone
(787) 763-4149
NPI assigned
Sep 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 21538 PR Primary

Addresses

Primary practice location

150 Ave Americo Miranda Bo Monacillos
Area de Centro Medico Metropolitano
San Juan, PR 00935-0001

Mailing address

150 Ave Americo Miranda Bo Monacillos
Area de Centro Medico Metropolitano
San Juan, PR 00935-0001
Phone (787) 763-4149

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
I20200421001100 PR Practitioner - General Practice 2264862960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

6 Carr
31 KM
Juncos, PR 00777-3871
Phone (787) 737-2311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21538PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc CurrentSince Jun 25, 2024 Accepting new patients
HPM Foundation Inc Centro de Imagen CurrentSince Mar 10, 2020 Accepting new patients
Neomed Center, Inc. CurrentSince Jun 25, 2024 Accepting new patients
G3A Gastroenterology LLC PastSince Feb 12, 2023 Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1699223701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 AVE AMERICO MIRANDA BO MONACILLOS",
            "address_2": "AREA DE CENTRO MEDICO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-763-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE AMERICO MIRANDA BO MONACILLOS",
            "address_2": "AREA DE CENTRO MEDICO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-763-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO-RODRIGUEZ",
        "first_name": "JANEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.