Luis A Lugo Medina, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

5407 Issued in PR

Practice address

7 Calle Baldorioty E
Guayama, PR 00784-4902

Phone

(787) 864-4610

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Grupo Pediatria 2000

  • Family Medicine Physician
  • Guayama, PR
  • NPI 1174593339
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1992893960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1467",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851467",
            "telephone_number": "787-864-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE BALDORIOTY E",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844902",
            "telephone_number": "787-864-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO MEDINA",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PR",
            "license": "5407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro M Lopez Lopez
• Jenniffer Lopez Suarez
• Edwin Bannacek Lopez, MD
• Cristina Elizabeth Lorenzo Puesan, M.D.
• Lilliam D Lugo Carmona, MD
• Luis A. Lugo Rivera, M.D.
• Ruben Lugo Zambrana, MD
• Luis Adrian Rivera Pomales, MD, Mba, MPH, CCD, Dabbm, CSP
• Christian G Madera Martin
• Yessenia Marquez Torres

• Pediatric Adolescent Medicine Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Pediatric Adolescent Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.