Individual provider Active NPI

Alexander Lugo, MD

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1750323895
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14095 Issued in PR
Practice address
230 Calle Eleonor Roosevelt
San Juan, PR 00918-3005
Phone
(787) 274-2244
Fax
(787) 754-8822
NPI assigned
Jun 12, 2006
Last updated
Jan 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 14095 PR Primary
MOHS-Micrographic Surgery Physician 207ND0101X 14095 PR

Addresses

Primary practice location

230 Calle Eleonor Roosevelt
San Juan, PR 00918-3005

Mailing address

2 Paseo Sereno
Los Paseos
San Juan, PR 00926-6469
Phone (787) 314-6834

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
I20060816000347 PR Practitioner - Dermatology 2668439803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 Calle Eleonor Roosevelt
San Juan, PR 00918-3005
Phone (787) 274-2244

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision214
Removal of skin lesions973
Removal of skin cancer708
Skin biopsy767

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Dermatology CurrentSince Jul 3, 2006 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jul 3, 2006 Accepting new patients
Alexander Lugo Janer PSC CurrentSince Aug 21, 2008 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients

Locations

425 Carr 693
Dorado, PR 00646
Phone (787) 310-9731

230 Calle Eleonor Roosevelt
San Juan, PR 00918
Phone (787) 274-2244

Organizations & group practices 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1750323895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PASEO SERENO",
            "address_2": "LOS PASEOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266469",
            "telephone_number": "787-314-6834",
            "fax_number": "787-761-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CALLE ELEONOR ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183005",
            "telephone_number": "787-274-2244",
            "fax_number": "787-754-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "14095",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PR",
            "license": "14095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.