Luis Humberto Farrugia Jr., LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

203903 Issued in TX

Practice address

1425 Porter St
Fort Detrick, MD 21702-9211

Phone

(301) 619-2236

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700952900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 E HUFF BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028276",
            "telephone_number": "301-619-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTER ST",
            "city": "FORT DETRICK",
            "state": "MD",
            "postal_code": "217029211",
            "telephone_number": "301-619-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRUGIA",
        "first_name": "LUIS",
        "middle_name": "HUMBERTO",
        "name_suffix": "Jr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "203903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane J Creedon
• Mary-Elizabeth Delmonte, MD
• Dunham Army Health Clinic (Detrick Phcy)
• Jared Michael Egbert, MD
• Alan Howard Epstein, M.D.
• Howard Henry Fischer Jr., DDS
• Paul Edward Forst, M. D.
• Yanyan Gao, X2
• Janet R Harris, PH.D. R.N.
• Mae B Hinnant, L.P.N

• Licensed Practical Nurse in Fort Detrick, MD
• Providers in Fort Detrick, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.