Individual
MR. JOSE RAFAEL LUGO-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4315 GOLF CLUB DR APT 5708, AUBURN, AL 36830-5893
(787) 598-4017
Mailing address
4315 GOLF CLUB DR APT 5708, AUBURN, AL 36830-5893
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12728
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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