Active NPI
Kalopher I Sandoval Lugo
- Internal Medicine Physician
- Ponce, PR
National Provider Identifier
1750240107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24759
- Practice address
- Hospital Episcopal San Lucas 917 Tito Castro Avenue
Ponce, PR 00733 - Phone
- (787) 844-2080
- NPI assigned
- Jan 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24759 | PR | Primary |
Addresses
Primary practice location
Hospital Episcopal San Lucas 917 Tito Castro Avenue
Ponce, PR 00733
Mailing address
539 Calle Diamante
San Sebastian, PR 00685-2745
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Calle Jose Mendez Cardona
Suite 3
San Sebastian, PR 00685
Calle Jose Mendez Cardona
Suite 3
San Sebastian, PR 00685-0486
HC 4 Box
San Sebastian, PR 00685
PO Box
Quebradillas, PR 00678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24759 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Radiologico Shalom Inc | Current | Accepting new patients | |
| Policlinica Familiar Shalom Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Quebradillas, PR
- NPI 1831302173
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Quebradillas, PR
- NPI 1548570211
-
- Public Health & General Preventive Medicine Physician
- Mayaguez, PR
- NPI 1619580321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1750240107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 CALLE DIAMANTE",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL EPISCOPAL SAN LUCAS 917 TITO CASTRO AVENUE",
"city": "PONCE",
"state": "PR",
"postal_code": "00733",
"telephone_number": "787-844-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL LUGO",
"first_name": "KALOPHER",
"middle_name": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-21",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "24759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.