Individual
DR. LUIS A. GUZMAN-LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SANTA JUANITA AVENUE, WP3, BAYAMON, PR 00956
(787) 740-2608
(787) 740-2612
Mailing address
PO BOX 1616, BAYAMON, PR 00960-1616
(787) 740-2608
(787) 740-2612
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
13865
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR209A
MEDICARE ID
PR
Enumeration date
02/15/2006
Last updated
04/25/2014
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