# MARIELA LUGO

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

## Provider details

- **NPI number:** 1881004273
- **Authorized official:** MARIELA LUGO M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (787) 467-5094

## Contact information

- **Practice address:** 76 TENERIFE URB SULTANA, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 467-5094
- **Mailing address:** PO BOX 821, CABO ROJO, PR 00623-0821
- **Mailing address phone:** (787) 467-5094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18719 | PR | Yes |

## Other

- **Enumeration date:** 05/06/2014
- **Last updated:** 05/06/2014