| Doctor Name: | CARLOS M GONZALEZ-LUGO |
| NPI Number: | 1013102508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 14114 |
| Business Practice Address: | 205 Calle San Justo Apt. 2a San Juan, PR - 009011710 |
| Business Phone Number: | 7877240017 |
| Business Fax Number: | |
| Mailing Address: | 205 Calle San Justo, Apt. 2a SAN JUAN |
| State: | PR |
| Postal Code: | 009011710 |
| Phone Number: | 7877240017 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2007 |
| NPI Last Update Date: | 09/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14114 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |