Individual provider Active NPI

Rafael Eduardo Lugo, D.C.

  • Chiropractor
  • Cayey, PR
National Provider Identifier
1699884262
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
362 Issued in PR
Practice address
10 Calle Jose Celso Barbosa N
Cayey, PR 00736-3730
Phone
(787) 738-8333
Fax
(787) 263-7522
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 362 PR Primary

Addresses

Primary practice location

10 Calle Jose Celso Barbosa N
Cayey, PR 00736-3730

Mailing address

44 Calle 1
Urb. la Campina
San Juan, PR 00926-9636
Phone (787) 738-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006001282 PR Practitioner - Chiropractic 7719946631 Practice locations: Cayey, PR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Calle Barbosa N
Cayey, PR 00736-3730
Phone (787) 738-8333

10 Calle Jose Celso Barbosa N
Cayey, PR 00736-3730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
362PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1699884262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CALLE 1",
            "address_2": "URB. LA CAMPINA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269636",
            "telephone_number": "787-738-8333",
            "fax_number": "787-263-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE JOSE CELSO BARBOSA N",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363730",
            "telephone_number": "787-738-8333",
            "fax_number": "787-263-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "RAFAEL",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.