Individual
IAN JARED DA SILVA LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 CALLE CONCEPCION VERA, MOCA, PR 00676-5005
(787) 926-0053
Mailing address
PO BOX 667, MOCA, PR 00676-0667
(787) 234-7950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35536
PR
207RN0300X
Nephrology Physician
Primary
24618
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2018
Last updated
02/19/2026
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