DR. NITZA LUGO (NPI# 1790769446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790769446 |
| Entity Type | Individual |
| Full Name | DR. NITZA LUGO |
| Credential | MD |
| Practice Address |
252 San Jorge Street Suite 406 San Jorge Medical Office San Juan PR 00912 |
| Mailing Address |
Churchill Park # 241 Winston Churchill Ave. San Juan PR 00926-6627 |
| Practice Telephone | 7877260210 |
| Practice Fax Number | 7877285136 |
| Mailing Telephone | 7872831649 |
| Mailing Fax Number | 7877285136 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
8909 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 0080412 | 01 |
| Street Address |
252 SAN JORGE STREET SUITE 406 SAN JORGE MEDICAL OFFICE |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860869 | Lismary Colon Matias | Speech-Language Pathologist | Avenida Ponce De Leon #1607, Cobian's Plaza Building, San Juan, PR 00912 | 2020-10-27 |
| 1972126258 | Neuropedeegpr LLC | Physiological Laboratory | Calle San Jorge #258 San Jorge Medical Building Suite 3, Santurce, PR 00912 | 2020-05-21 |
| 1801415047 | Racc | Surgery | #373 Calle San Jorge, Piso#2, Santurce, PR 00912 | 2020-04-08 |
| 1588299333 | Yanelis Perez Pina | Registered Nurse | 1600 Ave De La Constitucion, San Juan, PR 00912 | 2020-03-11 |
| 1558919233 | Aura Colon Rivera | Psychologist | Calle San Jorge, 258, San Juan, PR 00912 | 2019-08-27 |
| 1467923276 | Zuleika Montanez | Registered Nurse | 1600 Avenida Juan Ponce De Leon, San Juan, PR 00912 | 2018-12-06 |
| 1528584232 | Indhira M Rivas | Psychologist | 1551 Calle Victoria Santurce, San Juan, PR 00912 | 2017-08-15 |
| 1881146728 | Sebastian Cambo | Psychologist | 1801 Ave Ponce De Leon Suite 411, Santurce Medical Mall, San Juan, PR 00912 | 2016-10-26 |
| 1528430816 | Abner Martinez | Pharmacist | Calle Labra Esquina Corchado Parada 18, San Juan, PR 00912 | 2015-10-26 |
| 1609282300 | Mariola Llinas Messeguer | Obstetrics & Gynecology | 252 San Jorge Medical Building, Suite 405, Santurce, PR 00912 | 2014-07-02 |
| Find all providers in zip 00912 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598895484 | Sunsiree Santana | Pediatrics | 151 Calle Cesar Gonzalez, Plaza Antillana Apt. 3804, San Juan, PR 00918-1463 | 2007-03-07 |
| 1508974064 | Christopher John Gregory | Pediatrics | 1324 Calle Canada, San Juan, PR 00920-3860 | 2006-08-26 |
| 1720191471 | Sandra J. Somohano | Pediatrics | Calle San Jorge # 252 San Jorge Medical Office, Suite 406, San Juan, PR 00912 | 2006-08-16 |
| 1053365155 | Jeannette Morales | Pediatrics | 732 Calle Guamani, Los Campos De Monte Hiedra, San Juan, PR 00926 | 2006-05-22 |
| 1346201670 | Geraldine Aldamuy | Pediatrics | San Jorge Street #252, San Jorge Medical Office Bldg Suite 406, San Juan, PR 00912 | 2006-03-28 |
| 1164482014 | Irma Elizabeth Ramos | Pediatrics | San Jorge St. #252, San Jorge Medical Office Bldg Suite 406, San Juan, PR 00912 | 2006-03-24 |
| 1023098449 | Fermin Heribel Berrios | Pediatrics | 252 San Jorge St., San Juan, PR 00936-0406 | 2006-01-20 |
| 1669451902 | Gilberto Puig | Pediatrics | El Millenium, 550 Constitution Avenue, San Juan, PR 00901-2312 | 2006-01-14 |
| 1336100668 | Yazmin Lizzette Garcia | Pediatrics | 252 Calle San Jorge, Suite 406, San Juan, PR 00912-3310 | 2006-03-28 |
| 1508826504 | Francisco Javier Diaz | Pediatrics | 252 San Jorge St., Suite 406 San Jorge Medical Building, San Juan, PR 00912 | 2006-03-24 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.