Individual provider Active NPI

Lourdes C. Hermina Alago

  • General Practice Physician
  • Camuy, PR
National Provider Identifier
1790929446
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17542 Issued in PR
Practice address
54 Calle Iguina W
Camuy, PR 00627-2625
Phone
(787) 898-2561
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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 17542 PR Primary

Addresses

Primary practice location

54 Calle Iguina W
Camuy, PR 00627-2625

Mailing address

54 Calle Iguina W
Camuy, PR 00627-2625
Phone (787) 898-2561

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
I20100903000666 PR Practitioner - General PracticePractitioner - General Surgery 4587788005 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc CurrentSince Apr 15, 2022 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Apr 15, 2022 Accepting new patients
Instituto Medico del Norte 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.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1790929446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CALLE IGUINA W",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272625",
            "telephone_number": "787-898-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CALLE IGUINA W",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272625",
            "telephone_number": "787-898-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMINA ALAGO",
        "first_name": "LOURDES",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.