Individual provider Active NPI

Raul E Lugo Bonet, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1982616975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2550 Issued in PR
Practice address
A9 Calle 7
Bayamon Gardens
Bayamon, PR 00957-2517
Phone
(787) 797-4680
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2550 PR Primary

Addresses

Primary practice location

A9 Calle 7
Bayamon Gardens
Bayamon, PR 00957-2517

Mailing address

32 Calle 2
Garden Hills Estates
Guaynabo, PR 00966-2907
Phone (787) 797-4680

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702001695 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426360579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2550PRMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982616975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CALLE 2",
            "address_2": "GARDEN HILLS ESTATES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662907",
            "telephone_number": "787-797-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A9 CALLE 7",
            "address_2": "BAYAMON GARDENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572517",
            "telephone_number": "787-797-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO BONET",
        "first_name": "RAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.