Provider Demographics
NPI:1891689253
Name:LUGO, SUELIE MARIE
Entity type:Individual
Prefix:MISS
First Name:SUELIE
Middle Name:MARIE
Last Name:LUGO
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SUELIE
Other - Middle Name:MARIE
Other - Last Name:LUGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICENCIADA
Mailing Address - Street 1:HC 3 BOX 33819
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9755
Mailing Address - Country:US
Mailing Address - Phone:787-318-4348
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 33819
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9755
Practice Address - Country:US
Practice Address - Phone:787-318-4348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7373103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling