Individual provider Active NPI

Jose E Nazario Lugo, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1891916607
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12687 Issued in PR
Practice address
818 Ave Hostos Ste C
Ponce, PR 00716-1110
Phone
(787) 284-3005
Fax
(787) 842-9922
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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 12687 PR Primary

Addresses

Primary practice location

818 Ave Hostos Ste C
Ponce, PR 00716-1110

Mailing address

PO Box 800-952
Coto Laurel, PR 00780-0952
Phone (787) 284-3005

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
I20101103000358 PR Practitioner - General Practice 3476747593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Ponce School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

818 Ave Hostos C
Ponce, PR 00716-1110
Phone (787) 284-3005

Hospital & facility affiliations

  • Advanced Home Care Service West Inc Home health agency, Bo Palmas, PR, CCN 407037
  • Damas Hospital SNF Nursing home, Ponce, PR, CCN 405023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12687FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
J E Nazario & Asociados Medical Services PSC General Practice CurrentSince Jun 18, 2014 Accepting new patients
Dr Carlos Colon, PSC Past Accepting new patients
Hospital Damas Inc Past Accepting new patients
Orionmed PastSince Mar 30, 1994 Accepting new patients

Locations

818 Ave Hostos
Ste C
Ponce, PR 00716
Phone (787) 284-3005

818 Ave Hostos
#C
Ponce, PR 00716
Phone (787) 284-3005

Organizations & group practices 4

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 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1891916607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800-952",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800952",
            "telephone_number": "787-284-3005",
            "fax_number": "787-842-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 AVE HOSTOS STE C",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161110",
            "telephone_number": "787-284-3005",
            "fax_number": "787-842-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO LUGO",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.