Clinica de Medicina Interna Dr. Martin Lugo, PSC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

12960 Issued in PR

Legal business name

CLINICA DE MEDICINA INTERNA DR. MARTIN LUGO, PSC

Practice address

708 Ave Ponce de Leon
Suite 102
San Juan, PR 00918-4502

Phone

(787) 510-1668

Fax

(787) 294-1246

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Martin Hernan Lugo, M.D.

Title

President

Phone

(787) 510-1668

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ivonne de L Fraga Berrios, MD

  • Neurology Physician
  • San Juan, PR
  • NPI 1033116264
  NPD (past)
• Martin H Lugo Fagundo, MD

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1316944549
  NPD (past)

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1871986216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7891",
            "address_2": "PMB 191",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009707891",
            "telephone_number": "787-510-1668",
            "fax_number": "787-294-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 AVE PONCE DE LEON",
            "address_2": "SUITE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184502",
            "telephone_number": "787-510-1668",
            "fax_number": "787-294-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE MEDICINA INTERNA DR. MARTIN LUGO, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "HERNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-510-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "12960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consuelo Climent-Peris, MD
• Clinic Management Corporation of America
• Clinica de Cirugia Oral Y Maxilofacial de Caparra Corp
• Clinica de Cirugia Oral Y Maxilofacial de Caparra CSP
• Clinica de Medicina Deportiva del Caribe Inc.
• Clinica de Neurologia Y Medicina Neuromuscular, Inc.
• Clinica de Salud Mental de la Comunidad
• Clinica de Terapia Fisica Inc
• Clinica de Terapia Horizonte LLC
• Clinica de Terapia Horizonte LLC

• Medical Specialty Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.