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Individual

DR. JOSE E NAZARIO LUGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
818 AVE HOSTOS STE C, PONCE, PR 00716-1110
(787) 284-3005
(787) 842-9922
Mailing address
PO BOX 800-952, COTO LAUREL, PR 00780-0952
(787) 284-3005
(787) 842-9922

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12687
PR

Other

Enumeration date
05/01/2007
Last updated
03/27/2012
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