Individual provider Active NPI

Manuel A Quiles Lugo, MD

  • Cardiovascular Disease Physician
  • Santurce, PR
National Provider Identifier
1801871785
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8990 Issued in PR
Practice address
Centro Plaza Building Lloveras St
Ste 103
Santurce, PR 00909
Phone
(787) 723-4555
Fax
(787) 721-5180
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8990 PR
Cardiovascular Disease Physician 207RC0000X 8990 PR Primary

Addresses

Primary practice location

Centro Plaza Building Lloveras St
Ste 103
Santurce, PR 00909

Mailing address

PO Box 19062
San Juan, PR 00910-1062
Phone (787) 723-4555

Other identifiers 6

IdentifierTypeStateIssuer
81697OtherPRTRIPLE SSS
6320041OtherPRHUMANA HEALTH
067690OtherPRCRUZ AZUL
4537688OtherPRPLAN SALUD UIA
6320041OtherPRHUMANA INSURANCE
220106OtherPRPREFERRED HEALTH INSURANC

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
I20040706000142 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476530759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

650 Calle Lloveras
Suite 103
Santurce, PR 00909-2110
Phone (787) 723-4555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8990PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Cardiovascular Dr Manuel a Quiles Lugo CSP Internal Medicine CurrentSince Dec 1, 1989 Accepting new patients
Cardiac and Vascular Imaging and Medical Group PSC Past 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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1801871785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19062",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101062",
            "telephone_number": "787-723-4555",
            "fax_number": "787-721-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO PLAZA BUILDING LLOVERAS ST",
            "address_2": "STE 103",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-723-4555",
            "fax_number": "787-721-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES LUGO",
        "first_name": "MANUEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8990",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "81697",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH",
            "identifier": "6320041",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "067690",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN SALUD UIA",
            "identifier": "4537688",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6320041",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH INSURANC",
            "identifier": "220106",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.