Provider Demographics
NPI:1649254483
Name:ALVAREZ LUGO, LUIS R (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:R
Last Name:ALVAREZ LUGO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0179
Mailing Address - Country:US
Mailing Address - Phone:787-852-8248
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL RYDER MEMORIAL
Practice Address - Street 2:HOSPITAL HIMA HUMACAO
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-852-0768
Practice Address - Fax:787-852-8248
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13499207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR234060OtherPREFERRED HEALTH
PR7920038OtherHUMANA INSURANCE
PR7920038OtherHUMANA HEALTH
PR9004078OtherCRUZ AZUL
PR601095OtherMEDICARE Y MUCHO MAS
PRSE4575OtherPAN AMERICAN LIFE
PRP345OtherINTERNATIONAL MEDICAL
PR21657OtherTRIPLE S
PRH90152Medicare UPIN
PR21657OtherTRIPLE S