Individual
JAVIER ISMAEL LUGO DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 AVE. HOSTOS, MEDICAL CENTER PLAZA, SUITE 305, MAYAGUEZ, PR 00682
(787) 652-4864
(787) 652-4865
Mailing address
PO BOX 7436, MAYAGUEZ, PR 00681-7436
(787) 652-4864
(787) 652-4865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16272
PR
Other
Enumeration date
03/11/2007
Last updated
04/16/2019
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