Individual
DR. MARTIN H LUGO FAGUNDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 AVE PONCE DE LEON, SUITE 102, SAN JUAN, PR 00918-4502
(787) 763-9312
(787) 294-1246
Mailing address
PO BOX 7891, GUAYNABO, PR 00970-7891
(787) 708-4618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12960
PR
Other
Enumeration date
07/01/2005
Last updated
11/01/2013
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