# PEDRO LUGO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lugo Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083835243
- **Authorized official:** PEDRO LUGO (OWNER)
- **Authorized official phone:** (787) 826-2525

## Contact information

- **Practice address:** CARR 109, KM. 5.3, BO ESPINO, ANASCO, PR 00610
- **Practice address phone:** (787) 826-2525
- **Practice address fax:** (787) 818-0429
- **Mailing address:** RR 3 BUZON 10807, ANASCO, PR 00610
- **Mailing address phone:** (787) 826-2525
- **Mailing address fax:** (787) 818-0429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 424 | PR | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50740 | PMC | PR |
| 01 | — | 69277 | AMERICAN HEALTH MEDICARE | PR |