Individual provider Active NPI

Amneris Lugo Rivera, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • San Juan, PR
National Provider Identifier
1992912893
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
5780 Issued in PR
Practice address
735 Ave Ponce de Leon
Cond Torre Auxilio Mutuo of 704
San Juan, PR 00917-5029
Phone
(787) 765-8620
Fax
(787) 767-6138
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 5780 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Cond Torre Auxilio Mutuo of 704
San Juan, PR 00917-5029

Mailing address

PO Box 195095
San Juan, PR 00919-5095
Phone (787) 765-8620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5780PRMDPain Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1992912893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195095",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195095",
            "telephone_number": "787-765-8620",
            "fax_number": "787-767-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "COND TORRE AUXILIO MUTUO OF 704",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "787-765-8620",
            "fax_number": "787-767-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO RIVERA",
        "first_name": "AMNERIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PR",
            "license": "5780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.