Individual provider Active NPI

Sonilyn Lugo-Ruiz, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1770134405
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21542 Issued in PR
Practice address
120 Domenech Avenue
Baldrich
San Juan, PR 00918-3500
Phone
(787) 472-9011
NPI assigned
Sep 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 21542 PR
Occupational Medicine Physician 2083X0100X 21542 PR
General Practice Physician 208D00000X 21542 PR Primary

Addresses

Primary practice location

120 Domenech Avenue
Baldrich
San Juan, PR 00918-3500

Mailing address

44 Calle Astarte
Alto Apolo
Guaynabo, PR 00969-4943
Phone (787) 472-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21542PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1770134405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CALLE ASTARTE",
            "address_2": "ALTO APOLO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694943",
            "telephone_number": "787-472-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DOMENECH AVENUE",
            "address_2": "BALDRICH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183500",
            "telephone_number": "787-472-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO-RUIZ",
        "first_name": "SONILYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "PR",
            "license": "21542",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PR",
            "license": "21542",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.