Carlos Eduardo Antonio Ruiz Lugo Sr., ENFERMERO RN, WCS

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

078971 Issued in PR

Practice address

80 Cabo Rojo
Urb Mansiones de Cabo Rojo Palmas
Cabo Rojo, PR 00623-8933

Phone

(787) 398-2164

Fax

(787) 255-1846

NPI assigned

Mar 6, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1871051128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CABO ROJO",
            "address_2": "URB MANSIONES DE CABO ROJO PALMAS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-398-2164",
            "fax_number": "787-255-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CABO ROJO",
            "address_2": "URB MANSIONES DE CABO ROJO PALMAS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006238933",
            "telephone_number": "787-398-2164",
            "fax_number": "787-255-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ LUGO",
        "first_name": "CARLOS",
        "middle_name": "EDUARDO ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "ENFERMERO RN, WCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PR",
            "license": "075971",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PR",
            "license": "075971",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "075971",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "PR",
            "license": "078971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075971",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yesenia Rodriguez
• Arlene M. Roman, M.D.
• Karen Lizzette Rosado Velez
• Ramon Rosario Serrano, RPT
• Francisco J Rosario, MD
• Ruiz Zapata Medical Corp.
• Ana Ruiz
• Jose A Ruiz, R.PH., M.B.A.
• Ruben Ruiz, MD
• Sylvia Ruiz

• Wound Care Registered Nurse in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Wound Care Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.