Provider Demographics
NPI:1144367376
Name:LUGO RAMIREZ, CARMEN I (MD)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:I
Last Name:LUGO RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0662
Mailing Address - Country:US
Mailing Address - Phone:787-674-3540
Mailing Address - Fax:787-891-0172
Practice Address - Street 1:CARR 349 KM 2.7
Practice Address - Street 2:CERRO LAS MESAS
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-834-2350
Practice Address - Fax:787-891-0172
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15695174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
132362Medicare UPIN