Victor Lugo Miro MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H6890 Issued in TX

Legal business name

VICTOR LUGO MIRO MD PA

Practice address

3036 Northpark Dr
Kingwood, TX 77339-5114

Phone

(281) 360-8501

Fax

(281) 360-8617

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Victor I Lugo Miro Sr., M.D.NPI 1104934017

Title

Ceo/Owner

Phone

(281) 360-8501

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Victor Ivan Lugo-Miro MD Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Ivan Lugo-Miro, MD

  • General Practice Physician
  • Kingwood, TX
  • NPI 1104934017

  Family Medicine

  Medicare reassignment NPD Authorized official
• Kelly Baker, P.A.-C

  • Physician Assistant
  • Houston, TX
  • NPI 1396761235
  Medicare reassignment NPD
• Yelena Krupnik, MD

  • Family Medicine Physician
  • Porter, TX
  • NPI 1568638450
  Medicare reassignment

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1861681975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 NORTHPARK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395114",
            "telephone_number": "281-360-8501",
            "fax_number": "281-360-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 NORTHPARK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395114",
            "telephone_number": "281-360-8501",
            "fax_number": "281-360-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR LUGO MIRO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "LUGO MIRO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "281-360-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6890",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H6890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080241501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victor Ivan Lugo-Miro MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vericare of Texas, P.a.
• Vernon Enterprise, LLC
• Bradley D Vessel, PMHNP
• Deyanira Vezorak
• Vibrant Companion & Skilled Home Care, LLC
• Alisha Victoria
• Kali Vidrine
• Juan Mario Villafani, MD FACS
• Mayela G Villafuerte Marroquin, RN
• Village Learning Center, Inc

• Family Medicine Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.