Individual
ANIBAL J LUGO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EDIFICIO PLAZA METROPOLITANA, SUITE 204, SAN GERMAN, PR 00683-0000
(787) 264-3000
(787) 892-5994
Mailing address
PO BOX 88, SAN GERMAN, PR 00683-0088
(787) 264-3000
(787) 892-5992
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10754
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060053219
PALMETTO
—
01
—
060510
CA
—
01
—
310754
CIGNA
—
01
—
601504
MMM
—
01
—
6830017
HUMANA INSURANCE
—
Enumeration date
11/29/2006
Last updated
08/02/2012
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