Individual provider Active NPI

Amilcar Eugenio Lugo Rivera, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1710454749
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
021144 Issued in PR
Practice address
340 Ave Felisa Rincon
Cond. Paseo del Bosque Apt 2314
San Juan, PR 00926
Phone
(787) 644-4223
NPI assigned
Oct 29, 2018
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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 021144 PR Primary

Addresses

Primary practice location

340 Ave Felisa Rincon
Cond. Paseo del Bosque Apt 2314
San Juan, PR 00926

Mailing address

PO Box 1467
Guayama, PR 00785-1467
Phone (787) 644-4223

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
I20190530002375 PR Practitioner - General Practice 2062745359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Integral En la Montana IncGroup PAC ID 8527972827, 64 clinicians

Practice addresses (Care Compare)

12 2 Carr 152 KM
Naranjito, PR 00719

Carr 155 Ave Luis Munoz Marin
Orocovis, PR 00719
Phone (787) 867-6010

Carr 164 Sector El Desvio
Bo Achiote
Naranjito, PR 00719
Phone (787) 869-1290

PO Box
Naranjito, PR 00719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021144PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Sep 1, 2021 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Sep 1, 2021 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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1710454749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1467",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851467",
            "telephone_number": "787-644-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 AVE FELISA RINCON",
            "address_2": "COND. PASEO DEL BOSQUE APT 2314",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-644-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO RIVERA",
        "first_name": "AMILCAR",
        "middle_name": "EUGENIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.