# LUGO MEDICAL SERVICES PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295801298
- **Authorized official:** WALDEMAR LUGO MD (PRESIDENT)
- **Authorized official phone:** (787) 758-3502

## Contact information

- **Practice address:** COND NACIONAL PLAZA SUITE 326, PONCE DE LEON 431, HATO REY, PR 00918
- **Practice address phone:** (787) 758-3502
- **Practice address fax:** (787) 772-4734
- **Mailing address:** BOX 13312, SAN JUAN, PR 00908-3312
- **Mailing address phone:** (787) 758-3502
- **Mailing address fax:** (787) 772-4734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020