Individual provider Active NPI

Angel Francisco Mendez Lugo

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1982355293
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000385 Issued in PR
Practice address
3600 NE 43Rd St
Ste a-1
Gainesville, FL 32606
Phone
(352) 872-5755
Fax
(352) 872-5102
NPI assigned
Jan 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000385 PR Primary

Addresses

Primary practice location

3600 NE 43Rd St
Ste a-1
Gainesville, FL 32606

Mailing address

3600 NE 43Rd St
Gainesville, FL 32606
Phone (352) 872-5755

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
I20250708003977 PR Order and Referring Only - General PracticePractitioner - General Practice 8729592134

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5700 SW 34TH St
Suite 203
Gainesville, FL 32608-5371

9915 SW 41St Rd
Gainesville, FL 32608-7102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000385PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1982355293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NE 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-872-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NE 43RD ST",
            "address_2": "STE A-1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-872-5755",
            "fax_number": "352-872-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ LUGO",
        "first_name": "ANGEL",
        "middle_name": "FRANCISCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "000385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.