Individual
GIOVANNI LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE REINA ISABEL #44, PONCE, PR 00730
(787) 925-9035
Mailing address
HC 1 BOX 2645, BAJADERO, PR 00616-9795
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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