Individual
DR. LUIS A. LUGO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
URB. REXAMANOR CALLE 3 A21, GUAYAMA, PR 00785
(787) 404-6472
Mailing address
PO BOX 1467, GUAYAMA, PR 00785-1467
(787) 404-6472
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
020247
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020247
—
PR
Enumeration date
12/14/2012
Last updated
12/14/2012
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