# DR. CARLOS JAVIER LUGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013951797
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 14272 | PR | — |
| 208D00000X | General Practice Physician | ACN452 | FL | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 05/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006614400 | — | FL |
| 01 | — | ACN452 | MEDICINE DOCTOR LIC | FL |