Organization Active NPI

Dr Javier Lugo MD Inc

  • Medical Specialty Clinic/Center
  • Naples, FL
National Provider Identifier
1972938108
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
65726 Issued in FL
Legal business name
DR JAVIER LUGO MD INC
Practice address
4081 Tamiami TRL N
Suite C101
Naples, FL 34103-8738
Phone
(239) 263-4133
Fax
(239) 263-4189
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Dr. Javier G Lugo, M.D.NPI 1235130501
Title
Owner
Phone
(239) 263-4133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 65726 FL Primary

Addresses

Primary practice location

4081 Tamiami TRL N
Suite C101
Naples, FL 34103-8738

Mailing address

4081 Tamiami TRL N
Suite C101
Naples, FL 34103-8738
Phone (239) 263-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141121001167 FL Part B Supplier - Clinic/Group Practice 8224250519 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

4081 Tamiami Trl N
Ste C101
Naples, FL 34103
Phone (239) 263-4133

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1972938108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 TAMIAMI TRL N",
            "address_2": "SUITE C101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038738",
            "telephone_number": "239-263-4133",
            "fax_number": "239-263-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 TAMIAMI TRL N",
            "address_2": "SUITE C101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038738",
            "telephone_number": "239-263-4133",
            "fax_number": "239-263-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAVIER LUGO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-263-4133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "65726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.