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Individual

MR. PEDRO LUGO-LUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
ROAD 109 KM 5.3, BO ESPINO, ANASCO, PR 00610-0000
(787) 826-2525
(787) 551-7104
Mailing address
RR 3 BOX 10807, ANASCO, PR 00610-9651
(787) 826-2525
(787) 551-7104

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 424
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50740
PMC
PR
01
69277
AMERICAN HEALTH MEDICARE
PR
Enumeration date
09/22/2006
Last updated
04/17/2013
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