Organization
CLINICA DE MEDICINA INTERNA DR. MARTIN LUGO, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN HERNAN LUGO M.D. (PRESIDENT)
(787) 510-1668
Entity
Organization
Contact information
Practice address
708 AVE PONCE DE LEON, SUITE 102, SAN JUAN, PR 00918-4502
(787) 510-1668
(787) 294-1246
Mailing address
PO BOX 7891, PMB 191, GUAYNABO, PR 00970-7891
(787) 510-1668
(787) 294-1246
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12960
PR
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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